Individual provider Active NPI

David Zack, D.O.

  • Gastroenterology Physician
  • Toledo, OH
National Provider Identifier
1407955008
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34006071 Issued in OH
Practice address
4841 Monroe St
Suite 110
Toledo, OH 43623-4385
Phone
(419) 471-1317
Fax
(419) 471-1316
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34006071 OH Primary

Addresses

Primary practice location

4841 Monroe St
Suite 110
Toledo, OH 43623-4385

Mailing address

4841 Monroe St
Suite 110
Toledo, OH 43623-4385
Phone (419) 471-1317

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
I20090804000842 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 7214936574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Ohio Gastroenterology Associates IncGroup PAC ID 7517966872, 6 clinicians

Practice addresses (Care Compare)

4841 Monroe St
Suite 110
Toledo, OH 43623-4390
Phone (419) 471-1350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy222
Upper gastrointestinal (GI) endoscopy for acid reflux195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006071OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC CurrentSince Mar 18, 2014 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Mar 18, 2014 Accepting new patients
Mercy Health Physicians Lima, LLC Past Accepting new patients

Locations

2200 Jefferson Ave
Fl 4
Toledo, OH 43604
Phone (419) 251-1400

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

Organizations & group practices 4

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 6

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407955008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 MONROE ST",
            "address_2": "SUITE 110",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234385",
            "telephone_number": "419-471-1317",
            "fax_number": "419-471-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 MONROE ST",
            "address_2": "SUITE 110",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234385",
            "telephone_number": "419-471-1317",
            "fax_number": "419-471-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "34006071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.