Provider Demographics
NPI:1972579928
Name:ZENO, JOSEPH F (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:F
Last Name:ZENO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8580 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3693
Mailing Address - Country:US
Mailing Address - Phone:330-758-2303
Mailing Address - Fax:330-758-5548
Practice Address - Street 1:8580 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-3693
Practice Address - Country:US
Practice Address - Phone:330-758-2303
Practice Address - Fax:330-758-5548
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006455Z207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2116829Medicaid
OH1215010111OtherORGANIZATION NPI
GADG2155OtherRR MEDICARE GROUP NUMBER
OH1215010111OtherORGANIZATION NPI
OHG99471Medicare UPIN