Individual provider Active NPI

Marwan Isma'Il Zheiman, M.D.

  • Neurology Physician
  • Haines City, FL
National Provider Identifier
1497712855
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME101437 Issued in FL
Practice address
33046 Hwy 27
Haines City, FL 33844-7621
Phone
(863) 419-8844
Fax
(863) 419-4481
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 11358 NV
Clinical Neurophysiology Physician 2084N0600X 11358 NV
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 11358 NV
Neurology Physician 2084N0400X ME101437 FL Primary

Addresses

Primary practice location

33046 Hwy 27
Haines City, FL 33844-7621

Mailing address

5739 Old Lucerne Park Rd
Winter Haven, FL 33881-8273
Phone (863) 419-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081220000022 FL Practitioner - Neurology 2466514757 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11358NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Pain and Headache of Central Florida LLC CurrentSince Oct 25, 2004 Accepting new patients

Locations

33046 US Hwy 27 N
Haines City, FL 33844
Phone (863) 419-4488

Organizations & group practices 1

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1497712855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5739 OLD LUCERNE PARK RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338818273",
            "telephone_number": "863-419-4488",
            "fax_number": "863-419-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33046 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447621",
            "telephone_number": "863-419-8844",
            "fax_number": "863-419-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHEIMAN",
        "first_name": "MARWAN",
        "middle_name": "ISMA'IL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "11358",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NV",
            "license": "11358",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NV",
            "license": "11358",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME101437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.