Active NPI
Zeina Nadim Haidar, M.D.
- Pediatrics Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19459
- Practice address
- 100 Florida St
Charleston, WV 25302-1131 - Phone
- (304) 414-4015
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19459 | WV | Primary |
Addresses
Primary practice location
100 Florida St
Charleston, WV 25302-1131
Mailing address
301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552
Phone (304) 757-6999
Other practice location 1
97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6700356000 | Medicaid | WV | |
| 1275704363 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19459 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Women Care Inc | Pediatrics | Current | Accepting new patients |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Northern Virginia Pediatrics PC | Pediatrics | Past | Accepting new patients |
Locations
800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550
812 Park Ave
#35
Charleston, WV 25302
Phone (304) 720-4466
116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446
100 Florida St
Charleston, WV 25302
Phone (304) 348-6613
5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600
301 Washington Ave
Dunbar, WV 25064
Phone (304) 766-3323
503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001
515 Main St
Madison, WV 25130
Phone (304) 369-0393
12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130
97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560
Interoperability endpoints
- https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4
Organizations & group practices 15
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.
-
- Federally Qualified Health Center (FQHC)
- Cross Lanes, WV
- NPI 1396237434
-
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
-
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1790276525
-
- Federally Qualified Health Center (FQHC)
- Madison, WV
- NPI 1740450089
-
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
-
- Federally Qualified Health Center (FQHC)
- Winfield, WV
- NPI 1477834216
-
- Federally Qualified Health Center (FQHC)
- Marmet, WV
- NPI 1730671751
-
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1770745036
-
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1871872184
-
- Federally Qualified Health Center (FQHC)
- Saint Albans, WV
- NPI 1902166945
-
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1962045948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1275704363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GREAT TEAYS BLVD STE 6",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609552",
"telephone_number": "304-757-6999",
"fax_number": "304-201-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FLORIDA ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253021131",
"telephone_number": "304-414-4015"
}
],
"practiceLocations": [
{
"address_1": "97 Great Teays Blvd Ste 6",
"address_purpose": "LOCATION",
"city": "Scott Depot",
"state": "WV",
"postal_code": "255609816",
"country_code": "US",
"telephone_number": "304-757-6999",
"fax_number": "304-201-5019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAIDAR",
"first_name": "ZEINA",
"middle_name": "NADIM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "19459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6700356000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1275704363",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.