Jennifer Zatezalo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD466686 Issued in PA

Practice address

400 Market Place Dr
Oakdale, PA 15071-4007

Phone

(724) 218-1931

Fax

(724) 218-1934

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• WMC Physician Practices LLC

  • Internal Medicine Physician
  • Burgettstown, PA
  • NPI 1518303288

  Pediatrics, WV

  Medicare reassignment NPD
• WMC Physician Practices LLC

  • Internal Medicine Physician
  • Weirton, WV
  • NPI 1104280213
  NPD
• Weirton Medical Center, Inc

  dba Weirton Medial Center

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1396107207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 300",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058",
            "telephone_number": "304-797-6404",
            "fax_number": "304-797-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARKET PLACE DR",
            "city": "OAKDALE",
            "state": "PA",
            "postal_code": "150714007",
            "telephone_number": "724-218-1931",
            "fax_number": "724-218-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATEZALO",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD466686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transport U, LLC
• Elise Marita Vandamia, EDD, LPC
• Theresa Walter
• WMC Physician Practices LLC
• Wright Therapy Products, Inc. (Wright Therapy Products)
• Zilara Home Care, LLC

• Pediatrics Physician in Oakdale, PA
• Providers in Oakdale, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.