Active NPI
Tanya B Ziadie, MD
- Internal Medicine Physician
- Merritt Island, FL
National Provider Identifier
1891795258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME77865
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52108Y | Other | MEDICARE 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.