Active NPI
Qiwen Zhang, MD
- Anesthesiology Physician
- Owatonna, MN
National Provider Identifier
1407896533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 64900
- Practice address
- 2250 NW 26TH St
Owatonna, MN 55060-5503 - Phone
- (865) 342-8900
- NPI assigned
- Jun 7, 2006
- Last updated
- Apr 30, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35082626 | OH | |
| Anesthesiology Physician | 207L00000X | 64900 | MN | Primary |
Addresses
Primary practice location
2250 NW 26TH St
Owatonna, MN 55060-5503
Mailing address
3455 Old Brainard Rd
Cleveland, OH 44122-4205
Phone (216) 849-6678
Other practice location 1
155 5th St NE
Barberton, OH 44203-3332
Phone (330) 615-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000283834 | Other | ANTHEM | |
| P00028613 | Other | MEDICARE RAILROAD | |
| 2408433 | Medicaid | OH |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64900 | MN | MD | Anesthesiology Physician |
| 35082626 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Physicians Assoc Inc | Anesthesiology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Barberton Anesthesia Care
- Anesthesiology Physician
- Barberton, OH
- NPI 1134175078
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1407896533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 OLD BRAINARD RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441224205",
"telephone_number": "216-849-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 NW 26TH ST",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550605503",
"telephone_number": "865-342-8900"
}
],
"practiceLocations": [
{
"address_1": "155 5th St NE",
"address_purpose": "LOCATION",
"city": "Barberton",
"state": "OH",
"postal_code": "442033332",
"country_code": "US",
"telephone_number": "330-615-3000",
"fax_number": "330-848-7795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHANG",
"first_name": "QIWEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35082626",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "64900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000283834",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00028613",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2408433",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.