Provider Demographics
NPI:1346216785
Name:ZINI, JAMES ELIA (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ELIA
Last Name:ZINI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 E MAIN ST
Mailing Address - Street 2:P.O. BOX 1160
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72560-6171
Mailing Address - Country:US
Mailing Address - Phone:870-269-3838
Mailing Address - Fax:870-269-2310
Practice Address - Street 1:1816 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-6171
Practice Address - Country:US
Practice Address - Phone:870-269-3838
Practice Address - Fax:870-269-2310
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-26
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC5335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR120000081OtherRAILROAD MEDICARE
AR106034003Medicaid
ARAR6003870OtherTRICARE
AR120000081OtherRAILROAD MEDICARE
ARD17207Medicare UPIN