Ibrahim M Zayneh MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

IBRAHIM M ZAYNEH MD LLC

Practice address

2127 25TH St
Portsmouth, OH 45662

Phone

(740) 355-6634

Fax

(740) 355-1273

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Ibrahim M Zayneh, MDNPI 1366515298

Title

Physician Owner

Phone

(740) 355-6634

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Ibrahim Michael Zayneh, MD

  • Dermatology Physician
  • Portsmouth, OH
  • NPI 1366515298
  Medicare reassignment Care Compare group NPD Authorized official
• Karen Huff, NP

  • Gerontology Nurse Practitioner
  • Portsmouth, OH
  • NPI 1881292902
  Medicare reassignment Care Compare group NPD
• Kendra Alexandria Eldridge Pertuset, PA-C

  • Physician Assistant
  • Portsmouth, OH
  • NPI 1558978296
  Medicare reassignment Care Compare group
• Sonja Lichtenstein-Zayneh, MD

  • Surgery Physician
  • Ashland, KY
  • NPI 1821175274
  NPD

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1891974416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 25TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-355-6634",
            "fax_number": "740-355-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 25TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-355-6634",
            "fax_number": "740-355-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM M ZAYNEH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "ZAYNEH",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "740-355-6634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2329537",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candy A Hurst
• Chanelle Hussey
• Michelle Mae Hutchinson
• Tracie Hutchinson
• Courtney Douglas Hylton
• Robert Gerard Idzakovich, FNP
• Stacie Ingram, CDCA
• Tsuyoshi Inoshita, M.D.
• Emleigh Elaine Inskeep, CDCA
• Integrity Homes of Scioto County, Inc

• Dermatology Physician in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.