JOSEPH J ZAYDON JR. (NPI# 1710150057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710150057 |
| Entity Type | Individual |
| Full Name | JOSEPH J ZAYDON JR. |
| Credential | M.D. |
| Practice Address |
720 2nd Ave Suite 302 Bowling Green KY 42101-1778 |
| Mailing Address |
Po Box 9901 Bowling Green KY 42102-4901 |
| Practice Telephone | 2708431100 |
| Practice Fax Number | 2708431113 |
| Mailing Telephone | 2708431100 |
| Mailing Fax Number | 2708431113 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
22553 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BCBS | 000000043324 | 01 |
| KY | 64225535 | 05 |
| Street Address |
720 2ND AVE SUITE 302 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518954676 | Diana Granese | Obstetrics & Gynecology | 720 2nd Ave, Suite 303, Bowling Green, KY 42101-1778 | 2005-10-04 |
| 1457751091 | Derek Lee Reeder | Nurse Practitioner | 720 2nd Ave, Bowling Green, KY 42101-1778 | 2014-09-02 |
| 1457779795 | Commonwealth Health Corporation | Nurse Practitioner | 720 2nd Ave, Suite 307, Bowling Green, KY 42101-1778 | 2014-04-03 |
| 1952652844 | Abbie Leanne Smith | Nurse Practitioner | 720 2nd Ave, Suite 305, Bowling Green, KY 42101-1778 | 2012-10-02 |
| 1740310267 | Southern Kentucky Nephrology Associates Psc | Internal Medicine | 720 2nd Ave, Suite 203, Bowling Green, KY 42101-1778 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346488335 | Bernard Salameh | Surgery | 996 Wilkinson Trce Ste C1, Bowling Green, KY 42103-3410 | 2009-01-28 |
| 1437260585 | Joseph J Zaydon Jr Md | Surgery | 720 2nd Street, Ste 302, Bowling Green, KY 42101 | 2006-08-31 |
| 1063408771 | Fouad Victor Atalla | Surgery | 1048 Ashley St Ste 303, Bowling Green, KY 42103-2451 | 2005-09-27 |
| 1104470699 | Commonwealth Health Corporation, Inc. | Surgery | 1048 Ashley St Ste 303, Bowling Green, KY 42103-2451 | 2019-08-01 |
| 1144671587 | Salameh Plastic Surgery, LLC | Surgery | 996 Wilkinson Trce Ste C1, Bowling Green, KY 42103-3410 | 2016-06-27 |
| 1710084827 | Center for Plastic & Reconstructive Surgery Psc | Surgery | 1048 Ashley St Ste 303, Bowling Green, KY 42103-2451 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518427335 | Susan Tucker Kornegay | Surgery | 740 S Limestone E101, Lexington, KY 40536-0001 | 2019-03-20 |
| 1255837696 | Edgar A. Lopez-suescum | Surgery | 726 Zorn Ave Apt 1, Louisville, KY 40206-1447 | 2018-04-04 |
| 1881126563 | Christopher Robert Howell | Surgery | University of Kentucky Chandler Hospital 800 Rose St, Lexington, KY 40536-0001 | 2017-03-31 |
| 1346402948 | Scott Joseph Rapp | Surgery | 222 S 1st St Ste 100, Louisville, KY 40202-1350 | 2008-06-26 |
| 1053339473 | Brian P Thornton | Surgery | 315 E Broadway Ste 300, Louisville, KY 40202-3700 | 2006-07-17 |
| 1235188863 | Ramsey Kevin Majzoub | Surgery | 6440 Dutchmans Pkwy, Suite 210, Louisville, KY 40205-3338 | 2006-05-10 |
| 1306813852 | Lesley Wong | Surgery | 740 S Limestone Ky Clinic K454, University of Kentucky - Division of Plastic Surgery, Lexington, KY 40536-0284 | 2006-03-03 |
| 1407844566 | Mary Lyn T Lu | Surgery | 126 Trivette Dr, Suite 201, Pikeville, KY 41501-1275 | 2005-10-12 |
| 1235124637 | Henry Garth Smith | Surgery | 1900 N Main St, Madisonville, KY 42431-9443 | 2005-09-13 |
| 1053313221 | Vera C Van Aalst-barker | Surgery | 901 Dupont Rd, Ste 202, Louisville, KY 40207-4644 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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| 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.