Active NPI
Edem Ziadinov, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Washington, DC
National Provider Identifier
1386032076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MTL002820
- Practice address
- 3636 16TH St NW
Washington, DC 20010-1146 - Phone
- (443) 603-6328
- NPI assigned
- Jan 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MTL002820 | DC | Primary |
Addresses
Primary practice location
3636 16TH St NW
Washington, DC 20010-1146
Mailing address
3636 16TH St NW
Washington, DC 20010-1146
Phone (443) 603-6328
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTL002820 | DC | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1386032076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 16TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200101146",
"telephone_number": "443-603-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 16TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200101146",
"telephone_number": "443-603-6328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIADINOV",
"first_name": "EDEM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "DC",
"license": "MTL002820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.