Provider Demographics
NPI:1750475646
Name:JEANETTE M S ZAIMES MD
Entity Type:Organization
Organization Name:JEANETTE M S ZAIMES MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:MS
Authorized Official - Last Name:ZAIMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-628-7781
Mailing Address - Street 1:308 E STEIN HGHWAY
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-1416
Mailing Address - Country:US
Mailing Address - Phone:302-628-7781
Mailing Address - Fax:302-628-7783
Practice Address - Street 1:308 E STEIN HGHWAY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-1416
Practice Address - Country:US
Practice Address - Phone:302-628-7781
Practice Address - Fax:302-628-7783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1 00044832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1801816624OtherNPI
DE0000916802Medicaid
DEF88167Medicare UPIN
DEG00274Medicare PIN