Organization Active NPI

Zawaideh Medical Center PC

  • Family Medicine Physician
  • Royal Oak, MI
National Provider Identifier
1740390301
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ZAWAIDEH MEDICAL CENTER PC
Practice address
1041 S Main St
Royal Oak, MI 48067-3274
Phone
(248) 280-6400
Fax
(248) 273-0471
NPI assigned
Aug 30, 2006
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Dr. Megan C. Zawaideh, D.O.NPI 1043200256
Title
President
Phone
(248) 280-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1041 S Main St
Royal Oak, MI 48067-3274

Mailing address

1041 S Main St
Royal Oak, MI 48067-3274
Phone (248) 280-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000209 MI Part B Supplier - Clinic/Group Practice 8426079765 Receives reassigned benefits from 3 practitioners
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

1041 S Main St
Royal Oak, MI 48067
Phone (248) 280-6400

1041 S Main St
Ste 100
Royal Oak, MI 48067

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1740390301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 S MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673274",
            "telephone_number": "248-280-6400",
            "fax_number": "248-273-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 S MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673274",
            "telephone_number": "248-280-6400",
            "fax_number": "248-273-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAWAIDEH MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "ZAWAIDEH",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-280-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.