Provider Demographics
NPI:1821547365
Name:ROBERT P ZAINO, MD LLC
Entity Type:Organization
Organization Name:ROBERT P ZAINO, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:ZAINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-715-6798
Mailing Address - Street 1:765 N HAMILTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-8703
Mailing Address - Country:US
Mailing Address - Phone:614-715-6798
Mailing Address - Fax:614-337-2221
Practice Address - Street 1:765 N HAMILTON RD
Practice Address - Street 2:STE. 255
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-8703
Practice Address - Country:US
Practice Address - Phone:614-715-6798
Practice Address - Fax:614-337-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-057645207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0768781Medicaid
OH0768781Medicaid
OHZA0658897Medicare PIN