Individual provider Active NPI

Walter Louis Zancan, MD

  • Orthopaedic Surgery Physician
  • Hamilton, OH
National Provider Identifier
1740275759
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35046143 Issued in OH
Practice address
50 Riverfront PLZ
Hamilton, OH 45011-2718
Phone
(513) 856-9888
Fax
(513) 856-9890
NPI assigned
Sep 15, 2005
Last updated
Mar 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35046143 OH Primary

Addresses

Primary practice location

50 Riverfront PLZ
Hamilton, OH 45011-2718

Mailing address

50 Riverfront PLZ
Hamilton, OH 45011-2718
Phone (513) 856-9888

Other identifiers 1

IdentifierTypeStateIssuer
0467178MedicaidOH

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

LicenseStateTypeSpecialty
35046143OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prexus Health Partners, LLC. PastSince Feb 14, 2007 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1740275759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 RIVERFRONT PLZ",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112718",
            "telephone_number": "513-856-9888",
            "fax_number": "513-856-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 RIVERFRONT PLZ",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112718",
            "telephone_number": "513-856-9888",
            "fax_number": "513-856-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANCAN",
        "first_name": "WALTER",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35046143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0467178",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.