Individual provider Active NPI

Janet L Zeedyk, PA-C

  • Physician Assistant
  • Antwerp, OH
National Provider Identifier
1265488977
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50002083 Issued in OH
Practice address
608 Erie St
Antwerp, OH 45813-9465
Phone
(419) 258-5641
Fax
(419) 258-2711
NPI assigned
May 25, 2006
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50002083 OH Primary

Addresses

Primary practice location

608 Erie St
Antwerp, OH 45813-9465

Mailing address

1032 West Wayne Street
Paulding, OH 45879
Phone (419) 399-1104

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jzeedyk80393@Direct.Parkviewexchange.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060710000335 OH Practitioner - Physician Assistant 8527071745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paulding County Hospital Physician ServicesGroup PAC ID 8820983893, 17 clinicians

Practice addresses (Care Compare)

1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-4080

608 Erie St
Antwerp, OH 45813-9465
Phone (419) 258-5641

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50002083OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paulding County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

Interoperability endpoints

  • Direct secure messaging: jzeedyk80393@direct.parkviewexchange.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1265488977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 WEST WAYNE STREET",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "45879",
            "telephone_number": "419-399-1104",
            "fax_number": "419-399-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 ERIE ST",
            "city": "ANTWERP",
            "state": "OH",
            "postal_code": "458139465",
            "telephone_number": "419-258-5641",
            "fax_number": "419-258-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEEDYK",
        "first_name": "JANET",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jzeedyk80393@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "608 Erie St",
            "city": "Antwerp",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458139465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Antwerp, OH

Sources for this page

Verify at the official NPI Registry.