Provider Demographics
NPI:1134440142
Name:NEARMAN, ZACHARY (AA)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:NEARMAN
Suffix:
Gender:M
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32430 PINEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-5953
Mailing Address - Country:US
Mailing Address - Phone:216-577-4379
Mailing Address - Fax:
Practice Address - Street 1:32430 PINEBROOK LN
Practice Address - Street 2:
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124-5953
Practice Address - Country:US
Practice Address - Phone:216-577-4379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000313098OtherUNISON
OHNE4300541Medicare PIN