Gerard John Zaccheo, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002921L Issued in PA

Practice address

244 Walnut St
Suite 101
Johnstown, PA 15901-2930

Phone

(814) 535-3287

Fax

(814) 535-3287

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1851360333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WALNUT ST",
            "address_2": "SUITE 101",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012930",
            "telephone_number": "814-535-3287",
            "fax_number": "814-535-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WALNUT ST",
            "address_2": "SUITE 101",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012930",
            "telephone_number": "814-535-3287",
            "fax_number": "814-535-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCHEO",
        "first_name": "GERARD",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002921L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010147530002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480031529",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Nicole Yonish, PHYSICIAN ASSISTANT
• Daniel James Yost III, PHARMD
• Erin Young, PA-C
• Michael Young, DO
• Michael John Yuhas, O.D.
• Stanley Michael Zagorski, MD
• Matthew Lee Zajdel, MD
• Stephanie Erika Zaragoza, BSN, RN
• Omar Zaree, MD
• Nadine Marie Zatsick, CRNP

• Podiatrist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.