Organization Active NPI

Zeid Medical Group, PLLC

Doing business as Premier Pediatrics & OB/GYN

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Tyler, TX
National Provider Identifier
1396274296
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
ZEID MEDICAL GROUP, PLLC
Doing business as
Premier Pediatrics & OB/GYN
Zeid Pelvic Health Center
Zeid Wellness Center
Practice address
1212 Clinic Dr
Tyler, TX 75701-2117
Phone
(903) 301-9343
Fax
(903) 939-0049
NPI assigned
Jun 6, 2017
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Yasser F. Zeid, MDNPI 1548369424
Title
Owner
Phone
(903) 301-9343

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X
Pediatrics Physician 208000000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X Primary

Addresses

Primary practice location

1212 Clinic Dr
Tyler, TX 75701-2117

Mailing address

PO Box 6277
Tyler, TX 75711-6277
Phone (903) 301-9343

Other practice location 1

703 E Marshall Ave Ste 4002
Longview, TX 75601-5622
Phone (903) 315-2700

Other practice location 2

109 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 655-4200

Other names 3

  • Premier Pediatrics & OB/GYN Doing business as
  • Zeid Pelvic Health Center Doing business as
  • Zeid Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170707000961 TX Part B Supplier - Clinic/Group Practice 2769751783 Receives reassigned benefits from 1 practitioner
Practice locations: Tyler, TX; Mount Pleasant, TX; Longview, TX; Henderson, TX

National Provider Directory

National Provider Directory

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": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1396274296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6277",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116277",
            "telephone_number": "903-301-9343",
            "fax_number": "903-939-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CLINIC DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012117",
            "telephone_number": "903-301-9343",
            "fax_number": "903-939-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 E Marshall Ave Ste 4002",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015622",
            "country_code": "US",
            "telephone_number": "903-315-2700",
            "fax_number": "903-236-2575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Zeid Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TX",
            "postal_code": "756526070",
            "country_code": "US",
            "telephone_number": "903-655-4200",
            "fax_number": "903-655-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZEID MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "ZEID",
        "authorized_official_first_name": "YASSER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-301-9343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pediatrics & OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Pediatrics & OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zeid Pelvic Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zeid Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.