Active NPI
Stuart I Zetzer, M.D.
- Psychiatry Physician
- Wooster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35035174
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0916950 | Medicaid | OH |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35035174 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murtis Taylor Human Services System | Current | Accepting new patients | |
| Rakesh Ranjan MD & Associates, Inc. | Current | Accepting new patients | |
| Rakesh Ranjan M.D. & Assoc., Inc. | Psychiatry | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Past | Accepting new patients | |
| North Coast Mental Health Associates Inc. | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cleveland, OH
- NPI 1629001920
-
- Clinical Medical Laboratory
- Garfield Heights, OH
- NPI 1033143722
Psychiatry
-
- Specialty Pharmacy
- Garfield Heights, OH
- NPI 1225435597
-
- Pulmonary Disease Physician
- Mayfield Heights, OH
- NPI 1982700621
-
- Prescribing (Medical) Psychologist
- Beachwood, OH
- NPI 1033219225
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.