Active NPI
Ana Josefina Zavadzkas, M.D.
- Family Medicine Physician
- Columbia, SC
National Provider Identifier
1144238833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-4227
- Practice address
- 1818 Henderson St
Columbia, SC 29201-2619 - Phone
- (803) 758-2600
- Fax
- (803) 253-8896
- NPI assigned
- Aug 4, 2006
- Last updated
- Dec 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-4227 | AR | Primary |
| Family Medicine Physician | 207Q00000X | 036119450 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | E-4227 | AR |
Addresses
Primary practice location
1818 Henderson St
Columbia, SC 29201-2619
Mailing address
1818 Henderson St
Columbia, SC 29201-2619
Phone (803) 758-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-4227 | AR | MD | Family Medicine Physician |
| 036119450 | IL | MD | Family Medicine Physician |
| PENDING | TX | MD | Physician Assistant |
| 25086 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicot Memorial Hospital | Past | Accepting new patients | |
| Mainline Health Systems, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Lake Village, AR
- NPI 1497701973
-
dba Mainline Health Magnolia Clinic
- Federally Qualified Health Center (FQHC)
- Magnolia, AR
- NPI 1972464337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1144238833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 HENDERSON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012619",
"telephone_number": "803-758-2600",
"fax_number": "803-253-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 HENDERSON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012619",
"telephone_number": "803-758-2600",
"fax_number": "803-253-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVADZKAS",
"first_name": "ANA",
"middle_name": "JOSEFINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-4227",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036119450",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E-4227",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.