Kevan S. Zechin, M.D.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

32842 Issued in IA

Legal business name

KEVAN S. ZECHIN, M.D.

Practice address

1603 Morgan St
Suite 3
Keokuk, IA 52632-3433

Phone

(319) 524-4300

Fax

(319) 524-4424

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Kevan S. Zechin Sr., M.D.

Title

Owner

Phone

(319) 524-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174607709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 MORGAN ST",
            "address_2": "SUITE 3",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526323433",
            "telephone_number": "319-524-4300",
            "fax_number": "319-524-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 MORGAN ST",
            "address_2": "SUITE 3",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526323433",
            "telephone_number": "319-524-4300",
            "fax_number": "319-524-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVAN S. ZECHIN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZECHIN",
        "authorized_official_first_name": "KEVAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-524-4300",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IA",
            "license": "32842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3196758",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Keokuk, IA
• Providers in Keokuk, IA by specialty
• Preferred Provider Organization in Iowa

• 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.