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TED EDWARD ZEGARRA M.D. NPI 1063492676


NPI Information

NPI: 1063492676
Provider Name: TED EDWARD ZEGARRA, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: KINGMAN HEALTHCARE, INC

PECOS Registration: Yes

Address:
1739 E BEVERLY AVE
SUITE 201
KINGMAN, AZ
ZIP 86409
Phone: (928) 692-3456
Get Directions

Ted Edward Zegarra, M.D. is a family medicine in Kingman, AZ with 45 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Ted Edward Zegarra, M.D. NPI is 1063492676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1739 E BEVERLY AVE
SUITE 201
KINGMAN, AZ
ZIP 86409-593
Phone: (928) 692-3456
Fax: (928) 692-7071

The NPI 1063492676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 1/19/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine29946ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B27815MEDICARE UPINARIZONA
2BZ0121880OTHERARIZONADEA
382150MEDICARE ID-TYPE UNSPECIFIEDARIZONA
4871203MEDICAIDARIZONA
529946OTHERARIZONAMEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.