Active NPI
Isam J Zakhour, M.D.
- Ophthalmology Physician
- Florence, SC
National Provider Identifier
1912900408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 11168
- Practice address
- 367 W Evans St
Florence, SC 29501-3429 - Phone
- (843) 669-4156
- Fax
- (843) 664-0962
- NPI assigned
- May 27, 2005
- Last updated
- Apr 20, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 11168 | SC | Primary |
Addresses
Primary practice location
367 W Evans St
Florence, SC 29501-3429
Mailing address
367 W Evans St
Florence, SC 29501-3429
Phone (843) 669-4156
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622365 | Other | SC | SELECT HEALTH |
| 276873 | Other | SC | PRIVATE HEALTHCARE SYSTEM |
| 7906985 | Medicaid | NC | |
| 9624212 | Other | SC | GHI |
| S327575 | Other | SC | CIGNA |
| 4255275 | Other | SC | AETNA |
| 180012102 | Other | SC | RAILROAD MEDICARE |
| AT1229 | Medicaid | SC |
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Lake City, SC
- NPI 1316935885
-
- Ophthalmology Physician
- Marion, SC
- NPI 1336137751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1912900408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 W EVANS ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013429",
"telephone_number": "843-669-4156",
"fax_number": "843-664-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 W EVANS ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295013429",
"telephone_number": "843-669-4156",
"fax_number": "843-664-0962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAKHOUR",
"first_name": "ISAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "11168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "622365",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "276873",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7906985",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9624212",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "S327575",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4255275",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180012102",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AT1229",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.