Provider Demographics
NPI:1801974951
Name:ZIPF, WILLIAM BYRON (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BYRON
Last Name:ZIPF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 DILLMONT DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-6458
Mailing Address - Country:US
Mailing Address - Phone:614-839-3040
Mailing Address - Fax:614-839-3041
Practice Address - Street 1:55 DILLMONT DR
Practice Address - Street 2:100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235
Practice Address - Country:US
Practice Address - Phone:614-839-3040
Practice Address - Fax:614-839-3041
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0741712080P0205X
OH35012599Z174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0373760Medicaid
OHA79972Medicare UPIN
OHCE9314531Medicare ID - Type Unspecified