1184733016 NPI number — PATRICIA ZITKO O.D.

Table of content: PATRICIA ZITKO O.D. (NPI 1184733016)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184733016 NPI number — PATRICIA ZITKO O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZITKO
Provider First Name:
PATRICIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184733016
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
466 S TRIMBLE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANSFIELD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44906-3416
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-756-8000
Provider Business Mailing Address Fax Number:
419-756-2601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
76 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHELBY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44875-0648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-347-1445
Provider Business Practice Location Address Fax Number:
419-347-8403
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  4369 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2147886 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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