Active NPI
Zeidan Fadel Zeidan, MD
- Surgery Physician
- Rockingham, NC
National Provider Identifier
1508816778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9501160
- Practice address
- 921 Long Dr
Suite 206
Rockingham, NC 28379-4874 - Phone
- (910) 417-3410
- Fax
- (910) 417-3420
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9501160 | NC | Primary |
Addresses
Primary practice location
921 Long Dr
Suite 206
Rockingham, NC 28379-4874
Mailing address
921 Long Dr
Suite 206
Rockingham, NC 28379-4874
Phone (910) 417-3410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8989814 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9501160 | NC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1508816778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 LONG DR",
"address_2": "SUITE 206",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283794874",
"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 DR",
"address_2": "SUITE 206",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283794874",
"telephone_number": "910-417-3410",
"fax_number": "910-417-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEIDAN",
"first_name": "ZEIDAN",
"middle_name": "FADEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "9501160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8989814",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockingham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.