Zachary Boone

Key facts

NPI

1831669696

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

50.005925RX (OH)

Practice address

12623 Eckel Junction Rd
Perrysburg, OH 43551-1304

Phone

(419) 442-0222

Fax

(419) 251-6787

NPI assigned

Dec 4, 2018

Sex

Male

Sole proprietor

Yes

Organizations & group practices 5

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.

• Mercy Health Physicians North Specialty Care LLC Surgery Physician · Toledo, OH · NPI 1306468418
  Medicare reassignment Care Compare group NPD OH · PHYSICIAN ASSISTANT
• Mercy Health Physicians-North LLC Family Medicine Physician · Toledo, OH · NPI 1609000769
  Medicare reassignment NPD OH
• Mercy Health Physicians North Specialty Care LLC Customized Equipment (DME) · Perrysburg, OH · NPI 1255093597
  Care Compare group
• Mercy Health Physicians North Specialty Care LLC Customized Equipment (DME) · Oregon, OH · NPI 1942962386
  Care Compare group
• Mercy Health Physicians - North, LLC Customized Equipment (DME) · Perrysburg, OH · NPI 1992358766
  NPD

Hospital & facility affiliations 1

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

• Mercy Health - St Vincent Medical Center LLC General Acute Care Hospital · Toledo, OH · NPI 1467493551
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians North Specialty Care LLC (345 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy St Vincent Medical Center Hospital · Toledo, OH · CCN 360112

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zboone608929@direct.bsmhealth.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2019.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1831669696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12623 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-442-0222",
            "fax_number": "419-251-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005925RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Perrysburg, OH · Physician Assistant in Ohio