Zwound Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ZWOUND CARE

Practice address

1126 Country Club Road
McComb, MS 39648

Phone

(601) 250-0162

Fax

(601) 250-0139

NPI assigned

Nov 16, 2010

Last updated

Jun 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Zeidman, DONPI 1023067360

Title

Medical Physician

Phone

(601) 250-0162

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 3

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.

• Glenn Zeidman, DO

  • Family Medicine Physician
  • McComb, MS
  • NPI 1023067360
  Medicare reassignment NPD Authorized official
• Linda Cockrell, NP

  • Nurse Practitioner
  • Port Gibson, MS
  • NPI 1134163512
  NPD (past)
• Warren Lane Merriett Jr.

  • Family Nurse Practitioner
  • Natchez, MS
  • NPI 1063651925
  NPD (past)

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1891096236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 COUNTRY CLUB ROAD",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "39648",
            "telephone_number": "601-250-0139",
            "fax_number": "601-250-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 COUNTRY CLUB ROAD",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "39648",
            "telephone_number": "601-250-0162",
            "fax_number": "601-250-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZWOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "ZEIDMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN",
        "authorized_official_telephone_number": "601-250-0162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Wyant, DO
• Clarence Yeager
• Daniel Araya Yergaw, MD
• Glenn Zeidman, DO
• Gabriel Zevallos, MD

• Family Medicine Physician in McComb, MS
• Providers in McComb, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.