Individual provider Active NPI

Ann C Zedlitz, M.D.

  • Dermatology Physician
  • Baton Rouge, LA
National Provider Identifier
1902976921
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
23278 Issued in LA
Practice address
5326 Odonovan Dr
Baton Rouge, LA 70808-4691
Phone
(225) 769-7546
Fax
(225) 769-0471
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 023278 LA
Dermatology Physician 207N00000X 23278 LA Primary

Addresses

Primary practice location

5326 Odonovan Dr
Baton Rouge, LA 70808-4691

Mailing address

5326 Odonovan Dr
Baton Rouge, LA 70808-4691
Phone (225) 769-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23278LAMDDermatology Physician
023278LAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Emergency & Trauma Specialists Past Accepting new patients
Coursey Urgent Care of Louisiana Past Accepting new patients

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1902976921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 ODONOVAN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084691",
            "telephone_number": "225-769-7546",
            "fax_number": "225-769-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 ODONOVAN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084691",
            "telephone_number": "225-769-7546",
            "fax_number": "225-769-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEDLITZ",
        "first_name": "ANN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "023278",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "23278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.