Individual provider Active NPI

Tanya B Ziadie, MD

  • Internal Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1891795258
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77865 Issued in FL
Practice address
255 N Sykes Creek Pkwy
Suite 3
Merritt Island, FL 32953-3518
Phone
(321) 459-5543
Fax
(321) 455-6537
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME77865 FL Primary

Addresses

Primary practice location

255 N Sykes Creek Pkwy
Suite 3
Merritt Island, FL 32953-3518

Mailing address

255 N Sykes Creek Pkwy
Suite 3
Merritt Island, FL 32953-3518
Phone (321) 459-5543

Other identifiers 1

IdentifierTypeStateIssuer
52108YOtherMEDICARE PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1891795258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N SYKES CREEK PKWY",
            "address_2": "SUITE 3",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533518",
            "telephone_number": "321-459-5543",
            "fax_number": "321-455-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N SYKES CREEK PKWY",
            "address_2": "SUITE 3",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533518",
            "telephone_number": "321-459-5543",
            "fax_number": "321-455-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIADIE",
        "first_name": "TANYA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "52108Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.