Richmond Surgical Clinic PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9501160 Issued in NE

Legal business name

RICHMOND SURGICAL CLINIC PA

Practice address

921 Long Drive
Suite 206
Rockingham, NC 28379

Phone

(910) 417-3410

Fax

(910) 417-3420

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Zeidan Fadel Zeidan, MD

Title

Owner

Phone

(910) 417-3410

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1487868659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LONG DRIVE",
            "address_2": "SUITE 206",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "28379",
            "telephone_number": "910-417-3410",
            "fax_number": "910-417-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LONG DRIVE",
            "address_2": "SUITE 206",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "28379",
            "telephone_number": "910-417-3410",
            "fax_number": "910-417-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND SURGICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "ZEIDAN",
        "authorized_official_first_name": "ZEIDAN",
        "authorized_official_middle_name": "FADEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-417-3410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NE",
            "license": "9501160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989814",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richmond Foot Clinic P.a.
• Richmond Interagency Transportation Inc
• Richmond Internal Medicine and Cardiology Associates PA
• Richmond OB GYN PA
• Richmond Pediatrics
• Richmond Urology Clinic, PA
• Richmond Womens Center
• Latoya Riley
• Denise Jolynn Rivers, LPN
• Serenity Kaeli Roberts

• Surgery Physician in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.