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Individual provider Active NPI

Maher Jeffrey S Zackary, MD

  • Pain Medicine (Anesthesiology) Physician
  • Wooster, OH
National Provider Identifier
1164685053
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35094018 Issued in OH
Practice address
3373 Commerce Pkwy
Suite#3
Wooster, OH 44691-7130
Phone
(330) 439-4656
NPI assigned
Jul 9, 2008
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 46324 TN
Pain Medicine (Anesthesiology) Physician 207LP2900X 35094018 OH Primary

Addresses

Primary practice location

3373 Commerce Pkwy
Suite#3
Wooster, OH 44691-7130

Mailing address

3373 Commerce Pkwy
Suite#3
Wooster, OH 44691-7130
Phone (330) 439-4656

Other names 1

  • Dr. M Jeffrey S Zackary Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110426000873 OH Practitioner - Pain ManagementPractitioner - Anesthesiology 5496949448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wooster Pain and Anesthesia Center LLCGroup PAC ID 1557500782, 10 clinicians

Practice addresses (Care Compare)

1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8100

3373 Commerce Pkwy
Wooster, OH 44691-7130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35094018OHMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Intensive Care Consultants,Inc. CurrentSince Dec 1, 2024 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC CurrentSince Dec 1, 2024 Accepting new patients
Wooster Pain and Anesthesia Center LLC Pain Medicine CurrentSince May 28, 2013 Accepting new patients
Aultman North Canton Medical Group Past Accepting new patients
Comprehensive Care Anesthesia Services Inc Past Accepting new patients

Locations

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

3373 Commerce Pkwy
Ste 3
Wooster, OH 44691
Phone (330) 284-9119

Organizations & group practices 5

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

Hospital & facility affiliations 2

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1164685053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 COMMERCE PKWY",
            "address_2": "SUITE#3",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917130",
            "telephone_number": "330-439-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3373 COMMERCE PKWY",
            "address_2": "SUITE#3",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917130",
            "telephone_number": "330-439-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACKARY",
        "first_name": "MAHER",
        "middle_name": "JEFFREY S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "46324",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35094018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M JEFFREY",
            "last_name": "ZACKARY",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.