Dr Paul W Zelnick PA.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R2745 Issued in AR

Legal business name

DR PAUL W ZELNICK PA.

Practice address

11400 Huron LN
Little Rock, AR 72211-1847

Phone

(501) 666-3666

Fax

(501) 666-2535

NPI assigned

Mar 5, 2010

Last updated

Apr 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul W Zelnick, M.D.

Title

President

Phone

(501) 666-3666

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1639492549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111847",
            "telephone_number": "501-666-3666",
            "fax_number": "501-666-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111847",
            "telephone_number": "501-666-3666",
            "fax_number": "501-666-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAUL W ZELNICK PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "ZELNICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-666-3666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "R2745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104738001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.