Individual provider Active NPI

Beth Ann Zavell, MD

  • Dermatology Physician
  • Perrysburg, OH
National Provider Identifier
1225031933
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35066622Z Issued in OH
Practice address
12780 Roachton Road
#1
Perrysburg, OH 43551
Phone
(419) 872-0777
Fax
(419) 872-2369
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35066622Z OH Primary

Addresses

Primary practice location

12780 Roachton Road
#1
Perrysburg, OH 43551

Mailing address

12780 Roachton Road
#1
Perrysburg, OH 43551
Phone (419) 872-0777

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000844 OH Practitioner - Dermatology 0941475636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Toledo College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates IncGroup PAC ID 7113092917, 14 clinicians

Practice addresses (Care Compare)

12780 Roachton Rd
Perrysburg, OH 43551-1350
Phone (419) 872-0777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.2 of 100Reported as group
Quality
82.4
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions893
Removal or shaving of skin growth1-10
Skin biopsy275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066622ZOHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates Inc Dermatology CurrentSince Aug 1, 1995 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

12780 Roachton Rd
#1
Perrysburg, OH 43551
Phone 4198720777 ext. 107

12780 Roachton Rd
Perrysburg, OH 43551
Phone 4198720777107

12780 Roachton Rd
Ste 1
Perrysburg, OH 43551

3141 Central Park W
Toledo, OH 43617

Organizations & group practices 2

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 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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1225031933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 ROACHTON ROAD",
            "address_2": "#1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-872-0777",
            "fax_number": "419-872-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 ROACHTON ROAD",
            "address_2": "#1",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-872-0777",
            "fax_number": "419-872-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVELL",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35066622Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.