Basic Information
Provider Information
NPI: 1942542881
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROSSFELD
FirstName: ZACHARY
MiddleName: MICHAEL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5400 FRANTZ RD STE 250
Address2:  
City: DUBLIN
State: OH
PostalCode: 430166102
CountryCode: US
TelephoneNumber: 6145446161
FaxNumber: 6145446370
Practice Location
Address1: 800 MCCONNELL DR
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432143463
CountryCode: US
TelephoneNumber: 6145665019
FaxNumber: 6145661901
Other Information
ProviderEnumerationDate: 03/18/2013
LastUpdateDate: 01/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X OHN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RH0002X35.125372OHY Allopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine

No ID Information.


Home