Active NPI
Eduardo Daniel Zamora, M.D.
- Neurology Physician
- Martinsburg, WV
National Provider Identifier
1467788968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 24966
- Practice address
- 1004 Tavern Rd
Martinsburg, WV 25401-2864 - Phone
- (304) 262-3000
- Fax
- (304) 262-1900
- NPI assigned
- Oct 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 24966 | WV | Primary |
Addresses
Primary practice location
1004 Tavern Rd
Martinsburg, WV 25401-2864
Mailing address
1004 Tavern Rd
Martinsburg, WV 25401-2864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810023663 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
4725 N Federal Hwy
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 771-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24966 | WV | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| Holy Cross Hospital Inc | Current | Accepting new patients | |
| Shenandoah Medical Imaging Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| University Healthcare Physicians, Inc. | Past | Accepting new patients |
Locations
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
Interoperability endpoints
- ezamora4465815@direct.trinity-health.org
Organizations & group practices 5
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.
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
-
dba Holy Cross Diabetes Prevention Program
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Diagnostic Radiology Physician
- Woodstock, VA
- NPI 1598768087
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
Hospital
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1639197395
-
- Home Health Agency
- Hollywood, FL
- NPI 1518045988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1467788968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 TAVERN RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 TAVERN RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012864",
"telephone_number": "304-262-3000",
"fax_number": "304-262-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "EDUARDO",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-19",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WV",
"license": "24966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810023663",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.