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1801974886 NPI number — KOSTA MARK ZINIS DO

NPI Number: 1801974886
Health Care Provider/Practitioner: KOSTA MARK ZINIS DO

Information about “1801974886” NPI (KOSTA MARK ZINIS DO) exists in 1801974886 in HTML format HTML  |  1801974886 in plain Text format TXT  |  1801974886 in PDF (Portable Document Format) PDF  |  1801974886 in an XML format XML  formats.

NPI Number : 1801974886 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801974886",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZINIS",
    "FirstName": "KOSTA",
    "MiddleName": "MARK",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZINIS",
    "OtherFirstName": "KOSTANTINE",
    "OtherMiddleName": "CHRIS",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 600",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUBA CITY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86045-0600",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-283-2501",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "167 N MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUBA CITY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86045-0600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-283-2501",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/01/2006",
    "LastUpdateDate": "03/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207X00000X",
        "TaxonomyName": "Orthopaedic Surgery Physician",
        "LicenseNumber": "DR0036164",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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