Individual provider Active NPI

Mark J. Zedar, DO

  • Psychiatry Physician
  • Aurora, OH
National Provider Identifier
1801908009
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34-005542 Issued in OH
Practice address
1050 Eggleston Rd
Aurora, OH 44202-9740
Phone
(440) 572-9701
Fax
(440) 572-9703
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34-005542 OH Primary

Addresses

Primary practice location

1050 Eggleston Rd
Aurora, OH 44202-9740

Mailing address

1050 Eggleston Rd
Aurora, OH 44202-9740
Phone (440) 268-0888

Other identifiers 1

IdentifierTypeStateIssuer
0134634MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000550 OH Practitioner - Psychiatry 5597663005 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych Solutions Inc 2 clinicians

Practice addresses (Care Compare)

4925 Travertine Way
Akron, OH 44333-4759
Phone (304) 242-7106

Hospital & facility affiliations

  • Union Hospital Hospital, Dover, OH, CCN 360010

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-005542OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Behavioral Health-Geneva LLC CurrentSince Feb 16, 2019 Accepting new patients
Generations Behavioral Health Clinic, LLC CurrentSince Jun 30, 2020 Accepting new patients
Generations Behavioral Health-Youngstown, LLC CurrentSince Aug 31, 2019 Accepting new patients
Anchor Recovery Services Psychiatry CurrentSince Feb 15, 2020 Accepting new patients
Psych Solutions Inc. CurrentSince Apr 14, 2012 Accepting new patients
Assurance Health Toledo LLC Past Accepting new patients
Physician Services of Ohio LLC Psychiatry PastSince Feb 5, 2014 Accepting new patients
Travco Behavioral Health, Inc. Past Accepting new patients
Travco Behavioral Health, Inc. PastSince Aug 1, 2012 Accepting new patients
Assurance Health Hudson, LLC Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients
Clinic Regional Physicians LLC Past Accepting new patients

Locations

60 West St
Geneva, OH 44041
Phone (440) 466-1181

16 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7478

196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1801908009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 EGGLESTON RD",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442029740",
            "telephone_number": "440-268-0888",
            "fax_number": "440-572-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 EGGLESTON RD",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442029740",
            "telephone_number": "440-572-9701",
            "fax_number": "440-572-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEDAR",
        "first_name": "MARK",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34-005542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134634",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, OH

Sources for this page

Verify at the official NPI Registry.