NPIMap

Individual provider Active NPI

Steven Zeidner, MD

  • Radiation Oncology Physician
  • Toledo, OH
National Provider Identifier
1700882693
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35038140 Issued in OH
Practice address
3000 Regency CT
Ste 207
Toledo, OH 43623-3092
Phone
(419) 471-0493
Fax
(419) 474-0390
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35038140 OH Primary
Radiation Oncology Physician 2085R0001X 4301056146 MI

Addresses

Primary practice location

3000 Regency CT
Ste 207
Toledo, OH 43623-3092

Mailing address

3000 Regency CT
Ste 207
Toledo, OH 43623-3092
Phone (419) 471-0493

Other identifiers 6

IdentifierTypeStateIssuer
920005077OtherOHRR MEDICARE
4153920OtherMIMI MEDICAID-OH LOCATIONS
0N24000008OtherMIMEDICARE
4283011MedicaidMI
0415269MedicaidOH
920006285OtherMIRR MEDICARE

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

LicenseStateTypeSpecialty
35038140OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cancer Network of West Central Ohio Past Accepting new patients
Toledo Radiation Oncology, Inc Radiation Oncology Past Accepting new patients
Cancer Network of West Central Ohio Past Accepting new patients

Organizations & group practices 4

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1700882693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 REGENCY CT",
            "address_2": "STE 207",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233092",
            "telephone_number": "419-471-0493",
            "fax_number": "419-474-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 REGENCY CT",
            "address_2": "STE 207",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233092",
            "telephone_number": "419-471-0493",
            "fax_number": "419-474-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDNER",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35038140",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301056146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "920005077",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI MEDICAID-OH LOCATIONS",
            "identifier": "4153920",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0N24000008",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4283011",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415269",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "920006285",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.