Edwina Randall Zettler, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.091084 Issued in OH

Practice address

2449 Ross Millville Rd
Ross Medical Center, Suite 252
Hamilton, OH 45013-8951

Phone

(888) 958-5830

Fax

(888) 433-6146

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Kentucky College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Rising Behavioral Healthcare and Recovery, Inc.Group PAC ID 2466485800, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Phoenix Rising Behavioral Healthcare and Recovery Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, OH
  • NPI 1891737292
  Medicare reassignment Care Compare group NPD
• Phoenix Rising Behavioral Healthcare and Recovery, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1710238613
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1073523056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 CASEY CT",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143694",
            "telephone_number": "513-829-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 ROSS MILLVILLE RD",
            "address_2": "ROSS MEDICAL CENTER, SUITE 252",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450138951",
            "telephone_number": "888-958-5830",
            "fax_number": "888-433-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTLER",
        "first_name": "EDWINA",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.091084",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "39340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Zapata, LPN
• Elizabeth Margaret Zaremba
• John Zavras, RPH
• Zealous Dental Hamilton LLC
• Debra L Zeller
• James Joseph Zettler, DMD
• James Ralph Zettler Jr., D.M.D.
• Anja Zickafoose
• Melissa Faye Ziepfel, LPN
• Whitney Zimmerman, SWT

• Psychiatry Physician in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.