John Zubal, MS,ATC,LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT000149 Issued in GA

Practice address

59 College Ave West Virginia Wesleyan Athletic Training
Buckhannon, WV 26201

Phone

(540) 420-5696

NPI assigned

Jan 15, 2007

Last updated

Dec 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1457402604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 COLLEGE AVE WEST VIRGINIA WESLEYAN ATHLETIC TRAINING",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "26201",
            "telephone_number": "540-420-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 COLLEGE AVE WEST VIRGINIA WESLEYAN ATHLETIC TRAINING",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "26201",
            "telephone_number": "540-420-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBAL",
        "first_name": "JOHN",
        "credential": "MS,ATC,LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002242",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT000149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Wykoff, FNP-C
• Jennifer Lynn York, EDS
• Melissa Ann Young
• Carolyn Zickefoose
• Sheila Zickefoose, MA SPED, IMH-E

• Athletic Trainer in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Athletic Trainer in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.