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JASON A. ZACKS MD PC NPI 1619163078


NPI Information

NPI: 1619163078
Provider Name: JASON A. ZACKS, MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1920 FAIRVIEW AVE
DOTHAN, AL
ZIP 36301
Phone: (334) 678-1400
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JASON A. ZACKS, MD PC is a primary care clinic center in Dothan, AL. JASON A. ZACKS, MD PC NPI is 1619163078. The provider is registered as an organization entity type.

The provider's business location address is:

1920 FAIRVIEW AVE
DOTHAN, AL
ZIP 36301-008
Phone: (334) 678-1400
Fax: (334) 678-1432

The provider's authorized official is Glenda A Jones .
The authorized official title is Office Manager and has the following contact phone number (334) 678-1400.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.


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
1261QP2300XClinic/CenterPrimary CareG64013ALABAMAYes

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
1K711MEDICARE PINALABAMA
2G64013MEDICARE UPINALABAMA

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

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.