NPIMap

Organization Active NPI

PST Services 2000 LLC

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1477974715
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PST SERVICES 2000 LLC
Practice address
42 Woodcroft TRL
Suite a
Dayton, OH 45430-1995
Phone
(216) 896-9301
Fax
(216) 896-9302
NPI assigned
Jan 3, 2014
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Ms. Kelly A Zavoda
Title
Managing Director
Phone
(216) 896-9301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

42 Woodcroft TRL
Suite a
Dayton, OH 45430-1995

Mailing address

24331 Chagrin Blvd
Suite 170
Beachwood, OH 44122-5605
Phone (216) 896-9301

National Provider Directory

National Provider Directory

Locations

24331 Chagrin Blvd
Ste 170
Beachwood, OH 44122

42 Woodcroft Trl
Ste A
Dayton, OH 45430
Phone (216) 896-9301

1298 Som Ctr Rd
Ste 310
Mayfield HTS, OH 44124

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1477974715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 CHAGRIN BLVD",
            "address_2": "SUITE 170",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225605",
            "telephone_number": "216-896-9301",
            "fax_number": "216-896-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WOODCROFT TRL",
            "address_2": "SUITE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454301995",
            "telephone_number": "216-896-9301",
            "fax_number": "216-896-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PST SERVICES 2000 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "ZAVODA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "216-896-9301",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.