Active NPI
David A Zainey, MD
- Pediatrics Physician
- Fairborn, OH
National Provider Identifier
1700885241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35054968Z
- Practice address
- 530 E Dayton Yellow Springs Rd
Fairborn, OH 45324-6432 - Phone
- (937) 874-5766
- Fax
- (937) 874-5774
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35054968Z | OH | Primary |
Addresses
Primary practice location
530 E Dayton Yellow Springs Rd
Fairborn, OH 45324-6432
Mailing address
530 E Dayton Yellow Springs Rd
Fairborn, OH 45324-6432
Phone (937) 874-5766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0697009 | Medicaid | OH |
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 |
|---|---|---|---|
| 35054968Z | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intecare, Inc. | Pediatrics | Past | Accepting new patients |
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.
-
dba InteCare Medical Clinic
- Family Medicine Physician
- Fairborn, OH
- NPI 1083179097
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1700885241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E DAYTON YELLOW SPRINGS RD",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453246432",
"telephone_number": "937-874-5766",
"fax_number": "937-874-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E DAYTON YELLOW SPRINGS RD",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453246432",
"telephone_number": "937-874-5766",
"fax_number": "937-874-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAINEY",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35054968Z",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0697009",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.