Active NPI
Michael R Zeno, DO
- Emergency Medicine Physician
- Columbia, SC
National Provider Identifier
1275637571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 191
- Practice address
- 2435 Forest Drive
Columbia, SC 29204-2026 - Phone
- (803) 256-5300
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 191 | SC | Primary |
Addresses
Primary practice location
2435 Forest Drive
Columbia, SC 29204-2026
Mailing address
PO Box 12350
Westminster, CA 92685-2350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001919 | Medicaid | SC |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol ER Group LLC | Emergency Medicine | Past | Accepting new patients |
| Capitol ER Group LLC | Emergency Medicine | Past | Accepting new patients |
| Boyce Emergency Group PC | Emergency Medicine | Past | Accepting new patients |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Union, SC
- NPI 1497932917
-
- Emergency Medicine Physician
- Columbia, SC
- NPI 1003996539
-
- Emergency Medicine Physician
- Columbia, SC
- NPI 1366547101
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1275637571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12350",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926852350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 FOREST DRIVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042026",
"telephone_number": "803-256-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENO",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001919",
"state": "SC"
}
],
"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 May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.