Active NPI
Todd A Zacour, D.O.
- Family Medicine Physician
- Akron, OH
National Provider Identifier
1275523599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34004146Z
- Practice address
- 4880 S Main St
Suite 4
Akron, OH 44319-4474 - Phone
- (330) 644-2700
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34004146Z | OH | Primary |
Addresses
Primary practice location
4880 S Main St
Suite 4
Akron, OH 44319-4474
Mailing address
3515 Massillon Rd
Suite 300
Uniontown, OH 44685-6400
Phone (330) 899-9350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0740621 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004146Z | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1275523599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 MASSILLON RD",
"address_2": "SUITE 300",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446856400",
"telephone_number": "330-899-9350",
"fax_number": "330-634-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4880 S MAIN ST",
"address_2": "SUITE 4",
"city": "AKRON",
"state": "OH",
"postal_code": "443194474",
"telephone_number": "330-644-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACOUR",
"first_name": "TODD",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34004146Z",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0740621",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.