Provider Demographics
NPI:1497751192
Name:ZONA, JOHN C (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:ZONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5300 HARROUN RD STE 304
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2146
Mailing Address - Country:US
Mailing Address - Phone:419-824-1100
Mailing Address - Fax:419-824-1778
Practice Address - Street 1:5300 HARROUN RD STE 304
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2146
Practice Address - Country:US
Practice Address - Phone:419-824-1100
Practice Address - Fax:419-824-1778
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35054046207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000142498OtherANTHEM
OH344428794OtherBEECH STREET
MI142080OtherCARE CHOICES
OH344428794030OtherCARESOURCES
OHO08010OtherNATIONWIDE
OH0645216Medicaid
OH2014OtherPARAMOUNT
MI3068190Medicaid
MI6791OtherHEALTH PLAN OF MI
OH344428794003OtherHUMANA/TRICARE
OH4624248OtherAETNA
OH4624248OtherAETNA
OH344428794003OtherHUMANA/TRICARE
OH344428794030OtherCARESOURCES