Individual provider Active NPI

Zachary Werner

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1407483431
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.015541 Issued in OH
Practice address
Ohio Health Doctors Hospital
5100 West Broad Street
Columbus, OH 43228
Phone
(614) 544-1047
Fax
(614) 544-1028
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.015541 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

Ohio Health Doctors Hospital
5100 West Broad Street
Columbus, OH 43228

Mailing address

Ohio Health Doctors Hospital
5100 West Broad Street
Columbus, OH 43228
Phone (614) 544-1047

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zwerner33419@lickingmemorial.medicity.net Licking Memorial Health Professionals

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
I20230515002473 OH Practitioner - Emergency Medicine 2062834872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Ohio Emergency Group, LLCGroup PAC ID 7810233517, 42 clinicians

Practice addresses (Care Compare)

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 526-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
84.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015541OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Apr 9, 2023 Accepting new patients

Locations

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1407483431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OHIO HEALTH DOCTORS HOSPITAL",
            "address_2": "5100 WEST BROAD STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-544-1047",
            "fax_number": "614-544-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OHIO HEALTH DOCTORS HOSPITAL",
            "address_2": "5100 WEST BROAD STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-544-1047",
            "fax_number": "614-544-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015541",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zwerner33419@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "affiliationName": "Licking Memorial Health Professionals",
            "address_1": "1320 W Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.