Provider Demographics
NPI:1205588175
Name:TAYLOR, ZAKEE F (YMHFFA)
Entity type:Individual
Prefix:MR
First Name:ZAKEE
Middle Name:F
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:YMHFFA
Other - Prefix:MR
Other - First Name:Z.
Other - Middle Name:F
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:YMHFA
Mailing Address - Street 1:5036 RED CHERRY CT
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1584
Mailing Address - Country:US
Mailing Address - Phone:213-293-9027
Mailing Address - Fax:614-358-8571
Practice Address - Street 1:818 N ROSE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-2525
Practice Address - Country:US
Practice Address - Phone:614-670-3327
Practice Address - Fax:614-358-8571
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH19721976Medicaid