Individual provider Active NPI

William Zaccardelli

  • Podiatrist
  • Parma, OH
National Provider Identifier
1043226558
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-002306 Issued in OH
Practice address
6688 Ridge Rd
Suite 1405
Parma, OH 44129-5706
Phone
(440) 885-3161
Fax
(440) 885-3161
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-002306 OH Primary

Addresses

Primary practice location

6688 Ridge Rd
Suite 1405
Parma, OH 44129-5706

Mailing address

5556 Ridge Rd
Parma, OH 44129-2305
Phone (440) 885-3161

Other identifiers 2

IdentifierTypeStateIssuer
0593326MedicaidOH
480004371OtherOHRAIROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302001110 OH Practitioner - Podiatry 8325091291 Practice locations: Solon, OH; Westlake, OH; Walton Hills, OH; Uniontown, OH; Seven Hills, OH; Parma, OH; Oakwood Village, OH; Geneva, OH…

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36-002306OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zaccardelli and Ritz Podiatrist Current Accepting new patients

Locations

5556 Ridge Rd
Rear
Parma, OH 44129
Phone (440) 885-3161

5556 Ridge Rd
Parma, OH 44129
Phone (440) 885-3161

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1043226558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292305",
            "telephone_number": "440-885-3161",
            "fax_number": "440-885-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6688 RIDGE RD",
            "address_2": "SUITE 1405",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295706",
            "telephone_number": "440-885-3161",
            "fax_number": "440-885-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCARDELLI",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-002306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0593326",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIROAD MEDICARE",
            "identifier": "480004371",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.