Zinovi Goubar, M.D.
Individual provider Active NPI Psychiatry Physician · Northfield, OH
NPI 1295830180 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295830180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 35087218 (OH)
- Practice address
- 1756 Sagamore Rd
Northfield, OH 44067-1086 - Phone
- (330) 467-7131
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Ohio Office of Budget and Management State Accounting
Practice addresses (Care Compare)
3000 Erie St S
Massillon, OH 44646-7976
Phone (330) 833-3135
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060118000076 | OH | Practitioner - Psychiatry | 0941224976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients |
Locations
30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930
3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135
1756 Sagamore Rd
Northfield, OH 44067
Phone (330) 467-7131
930 S Detroit Ave
Toledo, OH 43614
Phone (419) 381-1881
Interoperability endpoints
- zgoubar24822@mhas.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35087218 | OH | Yes |
Addresses
Primary practice location
1756 Sagamore Rd
Northfield, OH 44067-1086
Mailing address
30 E Broad St
11TH FL
Columbus, OH 43215-3414
Phone (614) 466-9930
Other providers in Northfield, OH
- Kerrena Nicole Gilmore
- Spencer Glantz
- Zev I Goldberg
- Kathy Ritter Gonzalez
- Quawuna Good
- Wendy K Griffiths
- Emma Jane Groethe
- Angela Gromovsky
- Rokibul R Hasan
- Krystal Elaine Hawks
All providers in Northfield, OH · Psychiatry Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.