Provider Demographics
NPI:1346569829
Name:JEFF ZHAO, D.O., P.A.
Entity Type:Organization
Organization Name:JEFF ZHAO, D.O., P.A.
Other - Org Name:DALLAS ORTHOPEDIC AND SHOULDER INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-256-3778
Mailing Address - Street 1:222 S COLLINS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4625
Mailing Address - Country:US
Mailing Address - Phone:214-256-3778
Mailing Address - Fax:214-256-3770
Practice Address - Street 1:222 S COLLINS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4625
Practice Address - Country:US
Practice Address - Phone:214-256-3778
Practice Address - Fax:214-256-3770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CK527OtherBCBS
TX2173213-01Medicaid
1598828758OtherINDIVIDUAL NPI
TXTXB111406Medicare PIN
1598828758OtherINDIVIDUAL NPI