Individual provider Active NPI

Stuart I Zetzer, M.D.

  • Psychiatry Physician
  • Wooster, OH
National Provider Identifier
1275583114
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35035174 Issued in OH
Practice address
2285 Benden Drive
Wooster, OH 44691
Phone
(330) 264-9029
Fax
(330) 263-7251
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35035174 OH Primary

Addresses

Primary practice location

2285 Benden Drive
Wooster, OH 44691

Mailing address

614 W Superior Ave Ste 804
Cleveland, OH 44113-1306
Phone (216) 633-7576

Other practice location 1

3619 Park East Dr
Parkwest Medical Center BLDG
Beachwood, OH 44122-4330
Phone (440) 461-1399

Other practice location 2

614 W Superior Ave Ste 804
Cleveland, OH 44113-1306
Phone (216) 633-7576

Other identifiers 1

IdentifierTypeStateIssuer
0916950MedicaidOH

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
I20060621000012 OH Practitioner - Psychiatry 1759393432 Reassigns benefits to 2 organizations
Practice locations: Richfield, OH; Parma HTS, OH; Mentor, OH; Mayfield Heights, OH; Cleveland, OH; Mayfield Village, OH

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murtis Taylor Human Services SystemGroup PAC ID 1052218922, 8 clinicians

Practice addresses (Care Compare)

13422 Kinsman Rd
Cleveland, OH 44120-4410
Phone 21628344002296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35035174OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murtis Taylor Human Services System CurrentSince Dec 22, 2019 Accepting new patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Oct 9, 2019 Accepting new patients
Rakesh Ranjan M.D. & Assoc., Inc. Psychiatry CurrentSince Oct 9, 2019 Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients
North Coast Mental Health Associates Inc. PastSince Sep 1, 1995 Accepting new patients
Fatima M Pozuelo MD Inc Past Accepting new patients

Locations

13422 Kinsman Rd
Cleveland, OH 44120

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 504-3646

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1275583114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W SUPERIOR AVE STE 804",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441131306",
            "telephone_number": "216-633-7576",
            "fax_number": "216-771-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 BENDEN DRIVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "330-264-9029",
            "fax_number": "330-263-7251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3619 Park East Dr",
            "address_2": "PARKWEST MEDICAL CENTER BLDG",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224330",
            "country_code": "US",
            "telephone_number": "440-461-1399",
            "fax_number": "440-331-7710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 W Superior Ave Ste 804",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441131306",
            "country_code": "US",
            "telephone_number": "216-633-7576",
            "fax_number": "216-771-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZETZER",
        "first_name": "STUART",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35035174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0916950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.