Provider Demographics
NPI:1801816624
Name:ZAIMES, JEANETTE M S (MD)
Entity Type:Individual
Prefix:DR
First Name:JEANETTE
Middle Name:M S
Last Name:ZAIMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 E. STEIN HWY
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 HWY
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100044832084P0800X
DEC1-00044832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4015916 00Medicaid
DE0000684801Medicaid
DE0000916802Medicaid
MD4015908 00Medicaid
DEF88167Medicare UPIN
DE0000916802Medicaid
MD4015908 00Medicaid
MD4015916 00Medicaid