Kenneth E. Zichal, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20215 Issued in IA

Practice address

911 Carter St NW
Elkader, IA 52043-9016

Phone

(563) 245-1746

Fax

(563) 245-2066

NPI assigned

May 18, 2006

Last updated

Jan 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1730132887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ASSOCIATES DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022201",
            "telephone_number": "563-584-4100",
            "fax_number": "563-584-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CARTER ST NW",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520439016",
            "telephone_number": "563-245-1746",
            "fax_number": "563-245-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICHAL",
        "first_name": "KENNETH",
        "middle_name": "E.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "20215",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "29117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148262",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Julia Simpson, ARNP- FNP-BC
• The Dubuque Visiting Nurse Association (VNA - Clayton County Lead Program)
• David P Tinker, DO
• Tristan Voelker, OD
• Woodland Eye Clinic, PC (Woodland Eye Clinic of Elkader)

• Family Medicine Physician in Elkader, IA
• Providers in Elkader, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.