DR. KEVIN EDWARD ZAWACKI


Address: 1312 W. Arch Haven Avenue, Bloomington, IN 47403
Phone: 8126764144

DR. KEVIN EDWARD ZAWACKI (NPI# 1023189677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023189677
Entity Type Individual
Full Name DR. KEVIN EDWARD ZAWACKI
Credential MD
Practice Address 1312 W. Arch Haven Avenue
Bloomington
IN 47403
Mailing Address Po Box 1329
Bloomington
IN 47402
Practice Telephone 8126764144
Practice Fax Number 8123398344
Mailing Telephone 8123533087
Enumeration Date 2006-11-13
Last Update Date 2016-05-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
01074815A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201267640 05

Office Location

Street Address 1312 W. ARCH HAVEN AVENUE
City BLOOMINGTON
State IN
Zip Code 47403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104821974 Jennifer Petersen-goldspiel Internal Medicine 1312 W. Arch Haven Avenue, Bloomington, IN 47403 2005-06-16
1518366947 Atiq Zamani Physician Assistant 1312 W. Arch Haven Avenue, Bloomington, IN 47403 2014-08-21
1205276177 Julianne Frey Physician Assistant 1312 W. Arch Haven Avenue, Bloomington, IN 47403 2013-06-25
1780796417 Andrew Dundee Ferguson Internal Medicine 1312 W. Arch Haven Avenue, Suite A, Bloomington, IN 47403 2006-08-31
1093773376 Mohan Shenoy Internal Medicine 1312 W. Arch Haven Avenue, Bloomington, IN 47403 2006-05-03
1164429411 James S Fix Internal Medicine 1312 W. Arch Haven Avenue, Bloomington, IN 47403 2005-07-01
1770588568 Gregory S. Heumann Internal Medicine 1312 W. Arch Haven Avenue, Bloomington, IN 47403 2005-06-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
Find all providers in zip 47403

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881782878 St Joseph Medical Center Internal Medicine 1505 Eastland Dr, Suite 110, Bloomington, IL 61701-3534 2006-10-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710485594 Optimal Health Network of Indiana LLC Internal Medicine 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 2018-01-26
1205275948 Benjamin Thomas Maatman Internal Medicine 8075 N Shadeland Ave Ste 500, Indianapolis, IN 46250-2693 2013-06-16
1730389586 Akhtar Parvaiz Md Internal Medicine 1951 W 45th Ave, Griffith, IN 46319-3703 2007-07-20
1225058787 William E Lehmkuhler, M.d. P.C. Internal Medicine 950 Memorial Dr, Jasper, IN 47546-2625 2006-07-20
1326073586 Srinivasarao Manchikalapudi Internal Medicine 2109 Green Valley Rd, New Albany, IN 47150 2006-07-12
1548233158 Kingsley Annan Internal Medicine 1928 S Dixon Rd, Kokomo, IN 46902-7302 2006-02-13
1194724377 Eric F Schulte Internal Medicine 7863 Broadway, Suite 140, Merrillville, IN 46410-5553 2005-07-19
1386283281 Seyal Cardiology LLC Internal Medicine 1455 Cedar St Ste D, Clarksville, IN 47129-7700 2019-12-26
1710440839 1st Choice Cardiovascular Associates LLC Internal Medicine 701 Superior Ave Ste J, Munster, IN 46321-4038 2019-04-08
1972065415 Cind Care of In II, LLC Internal Medicine 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 2019-04-03
Find all providers with the same taxonomy

Competitor

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City BLOOMINGTON
Zip Code 47403

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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