Basic Information
Provider Information
NPI: 1003006651
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOMAN
FirstName: ZENA
MiddleName: KAY
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 6001
Address2:  
City: FARGO
State: ND
PostalCode: 581086001
CountryCode: US
TelephoneNumber: 7013648000
FaxNumber: 7013648078
Practice Location
Address1: 3000 32ND AVE S
Address2:  
City: FARGO
State: ND
PostalCode: 581036132
CountryCode: US
TelephoneNumber: 7013648000
FaxNumber: 7013648078
Other Information
ProviderEnumerationDate: 07/30/2007
LastUpdateDate: 11/02/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X125-052562ILN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XPT 12031NDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
1620105ND MEDICAID


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