Organization Active NPI

Z Family Practice, P.C.

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1417209412
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
Z FAMILY PRACTICE, P.C.
Practice address
4951 Center St
Suite 200
Omaha, NE 68106-3252
Phone
(402) 558-2500
Fax
(402) 558-5522
NPI assigned
Oct 15, 2012
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Kathryn Zawaideh
Title
Office Manager
Phone
(402) 558-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4951 Center St
Suite 200
Omaha, NE 68106-3252

Mailing address

4951 Center St
Suite 200
Omaha, NE 68106-3252
Phone (402) 558-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121119000092 NE Part B Supplier - Clinic/Group Practice 4981855012 Receives reassigned benefits from 5 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

4951 Center St
Omaha, NE 68106
Phone (402) 915-3201

Practitioners & affiliated clinicians

Practitioners 6

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": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1417209412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063252",
            "telephone_number": "402-558-2500",
            "fax_number": "402-558-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CENTER ST",
            "address_2": "SUITE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063252",
            "telephone_number": "402-558-2500",
            "fax_number": "402-558-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "ZAWAIDEH",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-558-2500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.