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TODD C ZISHOLTZ MD NPI 1386675809


NPI Information

NPI: 1386675809
Provider Name: TODD C ZISHOLTZ, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 HEALTH CARE DR
GREENVILLE, IL
ZIP 62246
Phone: (618) 664-1230
Get Directions

Todd C Zisholtz, MD is an emergency medicine in Greenville, IL with 21 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Todd C Zisholtz, MD NPI is 1386675809. 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:

200 HEALTH CARE DR
GREENVILLE, IL
ZIP 62246-154
Phone: (618) 664-1230

The NPI 1386675809 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 enumeration date for this NPI number is 7/5/2006 and was last updated on 3/7/2023.


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
1207P00000XEmergency Medicine036130871ILLINOISNo
2207P00000XEmergency MedicineEMTL-2021-026GUAMNo
3207Q00000XFamily MedicineM-2285GUAMNo
4207Q00000XFamily Medicine036130871ILLINOISNo
5207Q00000XFamily MedicineME94395FLORIDANo
6207P00000XEmergency MedicineM-2285GUAMYes

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
1036130871MEDICAIDILLINOIS
2IL5686073OTHERILLINOISMEDICARE PTAN

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

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.