Individual provider Active NPI

Daniel C Zedek, M.D.

  • Dermatopathology (Pathology) Physician
  • Chapel Hill, NC
National Provider Identifier
1447463518
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
2006-01407 Issued in NC
Practice address
414 Mary Ellen Jones Building
Unc CB# 7287
Chapel Hill, NC 27599-0001
Phone
(919) 843-2482
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 2006-01407 NC Primary
Dermatopathology (Pathology) Physician 207ZD0900X A103772 CA

Addresses

Primary practice location

414 Mary Ellen Jones Building
Unc CB# 7287
Chapel Hill, NC 27599-0001

Mailing address

143 W Franklin St Ste 600
Chapel Hill, NC 27516-2539
Phone (919) 966-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000233 NC Practitioner - PathologyPractitioner - Dermatology 5193874345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

1450 Professional Park Dr
Winston Salem, NC 27103-1300
Phone (336) 724-2434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-01407NCMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marlboro Chesterfield Pathology, PC Anatomic Pathology & Clinical Pathology CurrentSince Nov 22, 2020 Accepting new patients
Skin Surgery Center PA CurrentSince Jun 1, 2024 Accepting new patients
Marlboro Chesterfield Pathology, PC CurrentSince May 24, 2022 Accepting new patients
Skin Surgery Center PA CurrentSince Jun 1, 2024 Accepting new patients

Locations

30 Page St
Pinehurst, NC 28374
Phone (910) 205-8000

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1447463518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W FRANKLIN ST STE 600",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162539",
            "telephone_number": "919-966-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MARY ELLEN JONES BUILDING",
            "address_2": "UNC CB# 7287",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-843-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEDEK",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NC",
            "license": "2006-01407",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A103772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.