Organization Active NPI

Joseph J Zaydon Jr MD

  • Plastic and Reconstructive Surgery Physician
  • Bowling Green, KY
National Provider Identifier
1437260585
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
22553 Issued in KY
Legal business name
JOSEPH J ZAYDON JR MD
Practice address
720 2ND Street
Ste 302
Bowling Green, KY 42101
Phone
(270) 843-1100
Fax
(270) 843-1113
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Mrs. Shirley Jean Beck
Title
Office Manager
Phone
(270) 843-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X 22553 KY Primary

Addresses

Primary practice location

720 2ND Street
Ste 302
Bowling Green, KY 42101

Mailing address

PO Box 9901
Bowling Green, KY 42102-4901
Phone (270) 843-1100

Other identifiers 2

IdentifierTypeStateIssuer
64225535MedicaidKY
000000043324OtherKYBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1437260585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9901",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421024901",
            "telephone_number": "270-843-1100",
            "fax_number": "270-843-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 2ND STREET",
            "address_2": "STE 302",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-843-1100",
            "fax_number": "270-843-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J ZAYDON JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-843-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "22553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64225535",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000043324",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.