DR. VANCE EDWARD ZACHARY M.D. NPI 1295796480

NPI Information

NPI: 1295796480
Provider Name: DR. VANCE EDWARD ZACHARY, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4420 IRVING BLVD NW
ALBUQUERQUE, NM
ZIP 87114
Phone: (505) 727-6300
Get Directions

DR. Vance Edward Zachary, M.D. is a family medicine in Albuquerque, NM. 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. DR. Vance Edward Zachary, M.D. NPI is 1295796480. 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:

4420 IRVING BLVD NW
ALBUQUERQUE, NM
ZIP 87114-915
Phone: (505) 727-6300
Fax: (505) 727-9588

The enumeration date for this NPI number is 3/29/2006 and was last updated on 2/5/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		G7610	TEXAS	No
2	207QS0010X	Family Medicine	Sports Medicine	G7610	TEXAS	No
3	207Q00000X	Family Medicine		MD2015-0091	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	25156772	MEDICAID	NEW MEXICO
2	401311YR41	OTHER	NEW MEXICO	MEDICARE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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