Organization Active NPI

David W Zauel Professional Corp

  • Ophthalmology Physician
  • Danville, IN
National Provider Identifier
1790095230
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01029055A Issued in IN
Legal business name
DAVID W ZAUEL PROFESSIONAL CORP
Practice address
1 Manor Dr
Danville, IN 46122-9401
Phone
(317) 745-2350
Fax
(317) 745-4145
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
David W Zauel, MD
Title
Owner
Phone
(317) 745-2350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 01029055A IN Primary

Addresses

Primary practice location

1 Manor Dr
Danville, IN 46122-9401

Mailing address

1 Manor Dr
Danville, IN 46122-9401
Phone (317) 745-2350

Other identifiers 1

IdentifierTypeStateIssuer
201028900A/BMedicaidIN

National Provider Directory

National Provider Directory

Locations

1111 Indianapolis Rd
Greencastle, IN 46135
Phone (317) 745-2330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1790095230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MANOR DR",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229401",
            "telephone_number": "317-745-2350",
            "fax_number": "317-745-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MANOR DR",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229401",
            "telephone_number": "317-745-2350",
            "fax_number": "317-745-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W ZAUEL PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "ZAUEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-745-2350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01029055A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201028900A/B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.