Individual provider Active NPI

Ruslan Zeno Zakharchuk, P.A.

  • Medical Physician Assistant
  • Mayfield Heights, OH
National Provider Identifier
1154719060
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.004223 Issued in OH
Practice address
6801 Mayfield Road
Suite 537
Mayfield Heights, OH 44124
Phone
(440) 442-4452
Fax
(440) 442-0571
NPI assigned
Dec 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.004223 OH Primary

Addresses

Primary practice location

6801 Mayfield Road
Suite 537
Mayfield Heights, OH 44124

Mailing address

6801 Mayfield Rd
Suite 537
Mayfield Heights, OH 44124-2270
Phone (440) 442-4452

Other identifiers 1

IdentifierTypeStateIssuer
50.004223OtherOHLICENSE NUMBER

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150221000290 OH Practitioner - Physician Assistant 9032434709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

12300 McCracken Rd
Garfield Heights, OH 44125-2914

20000 Harvard Ave
Warrensville Heights, OH 44122-6805
Phone (216) 491-7396

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004223OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 22, 2016 Accepting new patients
Fatima M Pozuelo MD Inc Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1575 Brainard Rd
Lyndhurst, OH 44124
Phone (440) 460-1000

6801 Mayfield Rd
Ste 537
Mayfield Hts, OH 44124
Phone (440) 442-4452

Interoperability endpoints

  • Direct secure messaging: rzakharchukpac79751@direct.ccf.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1154719060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MAYFIELD RD",
            "address_2": "SUITE 537",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441242270",
            "telephone_number": "440-442-4452",
            "fax_number": "440-442-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MAYFIELD ROAD",
            "address_2": "SUITE 537",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-442-4452",
            "fax_number": "440-442-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHARCHUK",
        "first_name": "RUSLAN",
        "middle_name": "ZENO",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "50.004223",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.