Active NPI
Ryan L. Zollett, D.O.
- Anesthesiology Physician
- Dayton, OH
National Provider Identifier
1790904019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34.008249
- Practice address
- 1530 Needmore Rd
Suite 101
Dayton, OH 45414-3969 - Phone
- (937) 396-2602
- Fax
- (937) 395-3682
- NPI assigned
- Apr 25, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34.008249 | OH | Primary |
Addresses
Primary practice location
1530 Needmore Rd
Suite 101
Dayton, OH 45414-3969
Mailing address
1530 Needmore Rd
Suite 101
Dayton, OH 45414-3969
Phone (937) 396-2602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2457443 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.008249 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Middletown Anesthesia Consultants Inc | Anesthesiology | Past | Accepting new patients |
| Premier Anesthesia Consultants, LLC | Anesthesiology | Past | Accepting new patients |
Locations
4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602
1530 Needmore Rd
Ste 101
Dayton, OH 45414
Phone (937) 396-2602
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.
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1730332610
-
- Anesthesiology Physician
- Middletown, OH
- NPI 1578361044
-
- Anesthesiology Physician
- Franklin, OH
- NPI 1053356857
-
- Anesthesiology Physician
- Franklin, OH
- NPI 1811167877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1790904019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 NEEDMORE RD",
"address_2": "SUITE 101",
"city": "DAYTON",
"state": "OH",
"postal_code": "454143969",
"telephone_number": "937-396-2602",
"fax_number": "937-395-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 NEEDMORE RD",
"address_2": "SUITE 101",
"city": "DAYTON",
"state": "OH",
"postal_code": "454143969",
"telephone_number": "937-396-2602",
"fax_number": "937-395-3682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLLETT",
"first_name": "RYAN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "34.008249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2457443",
"state": "OH"
}
],
"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 May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.