Active NPI
Vitold George Zochowski, D.O.
- Family Medicine Physician
- Etna, OH
National Provider Identifier
1912909268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34002145Z
- Practice address
- 8200 Hazelton Etna Rd SW
Ste 100
Etna, OH 43062-9630 - Phone
- (740) 927-7665
- Fax
- (740) 964-0342
- NPI assigned
- Jun 1, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34002145Z | OH | Primary |
Addresses
Primary practice location
8200 Hazelton Etna Rd SW
Ste 100
Etna, OH 43062-9630
Mailing address
5450 Frantz Rd Ste 360
Dublin, OH 43016-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0214235 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vzochowski113956@direct.ohiohealth.com | OhioHealth Physician Group |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110511000408 | OH | Practitioner - Family Practice | 6800829888 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ohiohealth Corporation
Practice addresses (Care Compare)
393 E Town St
Columbus, OH 43215-4799
8200 Hazelton Etna Rd SW
Suite 100
Etna, OH 43062-9630
Phone (740) 927-7665
Hospital & facility affiliations
- Mount Carmel Home Care
- Licking Memorial Hospital
- Grant Medical Center
- Mount Carmel East & West
- Riverside Methodist Hospital
- Genesis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2145 | OH | MD | Chiropractor |
| 34002145Z | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Family Medicine | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497
8200 Hazelton Etna Rd SW
Ste 100
Etna, OH 43062
Phone (740) 927-7665
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Columbus, OH
- NPI 1104863927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1912909268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FRANTZ RD STE 360",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 HAZELTON ETNA RD SW",
"address_2": "STE 100",
"city": "ETNA",
"state": "OH",
"postal_code": "430629630",
"telephone_number": "740-927-7665",
"fax_number": "740-964-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOCHOWSKI",
"first_name": "VITOLD",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2022-01-25",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34002145Z",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0214235",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vzochowski113956@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "8200 Hazelton Etna Rd SW",
"address_2": "SW Ste 100",
"city": "Etna",
"state": "OH",
"country_code": "US",
"postal_code": "430629630",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Etna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.