DR. VICENTE SANTIAGO ZATA MD NPI 1962572982

NPI Information

NPI: 1962572982
Provider Name: DR. VICENTE SANTIAGO ZATA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
106 S WATER STREET
HARDIN, IL
ZIP 62047
Phone: (618) 576-9407
Get Directions

DR. Vicente Santiago Zata, MD is a family medicine in Hardin, IL. 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. Vicente Santiago Zata, MD NPI is 1962572982. 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:

106 S WATER STREET
HARDIN, IL
ZIP 62047-106
Phone: (618) 576-9407
Fax: (618) 576-2260

The enumeration date for this NPI number is 11/8/2006 and was last updated on 9/22/2011.

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		036051832	ILLINOIS	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	D14742	MEDICARE UPIN
2	0000715000	OTHER	ILLINOIS	BCBS
3	036051832	MEDICAID	ILLINOIS
4	784310010	MEDICARE PIN	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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