Individual provider Active NPI

Eugene Donald Zoog, DPM

  • Podiatrist
  • Pickerington, OH
National Provider Identifier
1124021217
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002667 Issued in OH
Practice address
8563 Refugee Rd
Pickerington, OH 43147-9639
Phone
(614) 837-8000
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002667 OH Primary

Addresses

Primary practice location

8563 Refugee Rd
Pickerington, OH 43147-9639

Mailing address

6200 Pleasant Ave
Suite 3
Fairfield, OH 45014-4670
Phone (513) 829-9333

Other identifiers 2

IdentifierTypeStateIssuer
480020259OtherOHRAILROAD MEDICARE
0828859MedicaidOH

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
I20040913001437 OH Practitioner - Podiatry 4880598374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1030 Refugee Rd
Suite 295
Pickerington, OH 43147-3221
Phone (614) 339-2000

1920 Tamarack Rd
Newark, OH 43055-2303
Phone (614) 339-2000

680 Buckles CT N
Suite 2a
Gahanna, OH 43230-6928
Phone (614) 339-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions14
Removal of nail tissue526
Removal or shaving of skin growth129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2667OHMDChiropractor
36002667OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of Central Ohio, LLC Podiatrist CurrentSince Sep 18, 2021 Accepting new patients
Foot and Ankle Specialists of Central Ohio LLC CurrentSince Sep 18, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

6801 Dixie Hwy
Ste 134
Louisville, KY 40258
Phone (502) 447-4500

6002 E Main St
Columbus, OH 43213
Phone (614) 866-2477

680 Buckles Ct N
Ste 2A
Gahanna, OH 43230
Phone (614) 446-8175

2405 N Columbus St
Ste 110
Lancaster, OH 43130
Phone (740) 689-6710

1920 Tamarack Rd
Newark, OH 43055
Phone (614) 755-5151

1030 Refugee Rd
Ste 295
Pickerington, OH 43147
Phone (614) 545-4321

8563 Refugee Rd
Pickerington, OH 43147
Phone (614) 837-8000

484 County Line Rd W
Ste 120
Westerville, OH 43082
Phone (614) 895-9955

Organizations & group practices 3

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1124021217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PLEASANT AVE",
            "address_2": "SUITE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144670",
            "telephone_number": "513-829-9333",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8563 REFUGEE RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479639",
            "telephone_number": "614-837-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOOG",
        "first_name": "EUGENE",
        "middle_name": "DONALD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480020259",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0828859",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.