Organization Active NPI

Dr Zoe Segree DC PA

  • Clinic/Center
  • Eastpoint, FL
National Provider Identifier
1265722847
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH6321 Issued in FL
Legal business name
DR ZOE SEGREE DC PA
Practice address
661 US Highway 98
Eastpoint, FL 32328-3572
Phone
(850) 670-5494
Fax
(850) 670-1424
NPI assigned
Apr 15, 2011
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Zoe Segree, D.C.NPI 1558462606
Title
Owner/Doctor
Phone
(850) 670-5494

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
Clinic/Center 261Q00000X CH6321 FL Primary

Addresses

Primary practice location

661 US Highway 98
Eastpoint, FL 32328-3572

Mailing address

661 US Highway 98
Eastpoint, FL 32328-3572
Phone (850) 670-5494

Other identifiers 2

IdentifierTypeStateIssuer
381988400MedicaidFL
1558462606OtherFLNPI INDIVIDUAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130124000430 FL Part B Supplier - Clinic/Group Practice 1153598206 Receives reassigned benefits from 1 practitioner
Practice locations: Eastpoint, FL

National Provider Directory

National Provider Directory

Locations

661 US Highway 98
Eastpoint, FL 32328
Phone (850) 670-5494

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": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1265722847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 US HIGHWAY 98",
            "city": "EASTPOINT",
            "state": "FL",
            "postal_code": "323283572",
            "telephone_number": "850-670-5494",
            "fax_number": "850-670-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 US HIGHWAY 98",
            "city": "EASTPOINT",
            "state": "FL",
            "postal_code": "323283572",
            "telephone_number": "850-670-5494",
            "fax_number": "850-670-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ZOE SEGREE DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "SEGREE",
        "authorized_official_first_name": "ZOE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "850-670-5494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH6321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381988400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1558462606",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpoint, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.