Philip L Zaacks, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

35-041292 Issued in OH

Practice address

350 Thomas More Pkwy
Suite 160
Crestview Hills, KY 41017-5465

Phone

(513) 221-1100

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pain Care Institute, LTD.

  • Interventional Pain Medicine Physician
  • Fort Thomas, KY
  • NPI 1154387439
  NPD (past) Authorized official
• Mayfield Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • Miamisburg, OH
  • NPI 1780423467
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1144293275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 OAK ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192507",
            "telephone_number": "513-569-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 THOMAS MORE PKWY",
            "address_2": "SUITE 160",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175465",
            "telephone_number": "513-221-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAACKS",
        "first_name": "PHILIP",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35-041292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Wunder, MD
• Crista Yeager, SLP
• William Ervin Yoder, DMD
• Emily Nicole Young, PHARMD, BCPS, BCACP
• Emily Renee Youngwirth
• Jennifer Caroline Zeigler, OTR/L
• Jaclyn Zenni, P.T.
• ZG Wellness and Dermatology
• Yiyi Zhang, MD
• Tracy A Zinser-Bourne, OTR/L,CHT

• Interventional Pain Medicine Physician in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Interventional Pain Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.