NPIMap

Organization Active NPI

Joseph Zadeh DO

  • Internal Medicine Physician
  • Aledo, TX
National Provider Identifier
1083633226
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J5523 Issued in TX
Legal business name
JOSEPH ZADEH DO
Practice address
1411 McDavid Dr
Aledo, TX 76008-2845
Phone
(817) 903-8041
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Herrera
Title
Office Manager
Phone
(817) 903-8041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J5523 TX Primary

Addresses

Primary practice location

1411 McDavid Dr
Aledo, TX 76008-2845

Mailing address

1411 McDavid Dr
Aledo, TX 76008-2845
Phone (817) 903-8041

Other identifiers 2

IdentifierTypeStateIssuer
CH3326OtherTXRR MEDICARE GROUP #
P00130994OtherTXRR MEDICARE INDIVIDUAL #

National Provider Directory

National Provider Directory

Locations

1201 Holland Lake Dr
Weatherford, TX 76086
Phone (817) 598-0160

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083633226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MCDAVID DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760082845",
            "telephone_number": "817-903-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MCDAVID DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760082845",
            "telephone_number": "817-903-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH ZADEH DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-903-8041"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J5523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CH3326",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL #",
            "identifier": "P00130994",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aledo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.