Active NPI
John F Zeedick MD Inc
- Anesthesiology Physician
- Kershaw, SC
National Provider Identifier
1962431452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- JOHN F ZEEDICK MD INC
- Practice address
- 4151 Old Georgetown Rd W
Kershaw, SC 29067-8902 - Phone
- (803) 475-8749
- NPI assigned
- Jun 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Francis Zeedick, MD
- Title
- President Owner
- Phone
- (803) 475-8749
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
4151 Old Georgetown Rd W
Kershaw, SC 29067-8902
Mailing address
4151 Old Georgetown Rd W
Kershaw, SC 29067-8902
Phone (803) 475-8749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QP1190 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962431452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 OLD GEORGETOWN RD W",
"city": "KERSHAW",
"state": "SC",
"postal_code": "290678902",
"telephone_number": "803-475-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 OLD GEORGETOWN RD W",
"city": "KERSHAW",
"state": "SC",
"postal_code": "290678902",
"telephone_number": "803-475-8749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN F ZEEDICK MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZEEDICK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "803-475-8749",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QP1190",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kershaw, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.