Active NPI
Boris Zevin, M.D.
- Surgery Physician
- Columbus, OH
National Provider Identifier
1558749747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35125536
- Practice address
- 4830 Knightsbridge Blvd
Suite J
Columbus, OH 43214 - Phone
- (614) 293-3230
- Fax
- (614) 293-4030
- NPI assigned
- May 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35125536 | OH | Primary |
Addresses
Primary practice location
4830 Knightsbridge Blvd
Suite J
Columbus, OH 43214
Mailing address
700 Ackerman Road
Suite 570
Columbus, OH 43202-1579
Phone (614) 293-7399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01576500 | Other | OH | RAILROAD MEDICARE |
| 0131581 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35125536 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1558749747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN ROAD",
"address_2": "SUITE 570",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021579",
"telephone_number": "614-293-7399",
"fax_number": "614-293-7852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 KNIGHTSBRIDGE BLVD",
"address_2": "SUITE J",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43214",
"telephone_number": "614-293-3230",
"fax_number": "614-293-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEVIN",
"first_name": "BORIS",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35125536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01576500",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0131581",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.