Organization Active NPI

Zidon Medical PLLC

Doing business as Zidon Internal Medicine

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1194269886
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ZIDON MEDICAL PLLC
Doing business as
Zidon Internal Medicine
Practice address
10695 Astoria Dr
Frisco, TX 75035-9063
Phone
(214) 872-1827
Fax
(214) 872-1827
NPI assigned
Dec 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Dr. Uchenna Christopher Ozuah, MDNPI 1578883377
Title
Owner
Phone
(214) 872-1827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10695 Astoria Dr
Frisco, TX 75035-9063

Mailing address

10695 Astoria Dr
Frisco, TX 75035-9063
Phone (214) 872-1827

Other names 1

  • ZIDON INTERNAL MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170313000665 TX Part B Supplier - Clinic/Group Practice 1658655626 Receives reassigned benefits from 1 practitioner
Practice locations: Aubrey, TX; Prosper, TX

National Provider Directory

National Provider Directory

Locations

27045 E University Dr
Ste 2D
Little Elm, TX 76227
Phone (469) 262-2065

Practitioners & affiliated clinicians

Practitioners 1

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": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1194269886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10695 ASTORIA DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359063",
            "telephone_number": "214-872-1827",
            "fax_number": "214-872-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10695 ASTORIA DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359063",
            "telephone_number": "214-872-1827",
            "fax_number": "214-872-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIDON MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "OZUAH",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-872-1827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZIDON INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.