# ZIAD L. ZAWAIDEH M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Z Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548477169
- **Authorized official:** DR. ZIAD L ZAWAIDEH M.D. (OWNER)
- **Authorized official phone:** (402) 558-2500

## Contact information

- **Practice address:** 4951 CENTER ST, SUITE 200, OMAHA, NE 68106-3251
- **Practice address phone:** (402) 558-2500
- **Practice address fax:** (402) 558-5522
- **Mailing address:** 4951 CENTER ST, SUITE 200, OMAHA, NE 68106-3251
- **Mailing address phone:** (402) 558-2500
- **Mailing address fax:** (402) 558-5522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17067 | NE | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 10/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00966 | BLUECROSS ASSIGNED NUMBER | NE |
| 01 | — | 0100013 | UHC PROVIDER \# | NE |
| 01 | — | 0912196 | IOWA MEDICAID PROVIDER \# | IA |
| 01 | — | 143144500 | ACS OWCP | NE |
| 01 | — | 4735 | MIDLANDS CHOICE ASSIGNED | NE |
| 01 | — | 5028044 | AETNA PROVIDER \# | NE |
| 01 | — | 920579 | WELLMARK BCBS | IA |