Individual provider Active NPI

Maria Claudia Zedan,CNM, CNM

  • Midwife
  • Hollywood, FL
National Provider Identifier
1891029583
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
ARNP2064402 Issued in FL
Practice address
3801 Hollywood Blvd
Suite 250
Hollywood, FL 33021-6758
Phone
(954) 961-8303
Fax
(954) 961-8307
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X ARNP2064402 FL Primary

Addresses

Primary practice location

3801 Hollywood Blvd
Suite 250
Hollywood, FL 33021-6758

Mailing address

3801 Hollywood Blvd
Suite 250
Hollywood, FL 33021-6758
Phone (954) 961-8303

Other identifiers 1

IdentifierTypeStateIssuer
002059600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140129000614 FL Practitioner - Certified Nurse Midwife (CNM) 0446410229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C Siudmak & Associates MD PA CurrentSince Dec 19, 2013 Accepting new patients
Mira Women'S Health and Midwifery Midwife Past Accepting new patients

Locations

3801 Hollywood Blvd
Ste 250
Hollywood, FL 33021
Phone (954) 961-8303

1761 NW 123rd Ave
Pembroke Pines, FL 33026
Phone (954) 431-7000

Organizations & group practices 2

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": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1891029583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 HOLLYWOOD BLVD",
            "address_2": "SUITE 250",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216758",
            "telephone_number": "954-961-8303",
            "fax_number": "954-961-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 HOLLYWOOD BLVD",
            "address_2": "SUITE 250",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216758",
            "telephone_number": "954-961-8303",
            "fax_number": "954-961-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEDAN,CNM",
        "first_name": "MARIA CLAUDIA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "ARNP2064402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002059600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.