Provider Demographics
NPI:1215010111
Name:DR. JOSEPH F. ZENO, INC
Entity type:Organization
Organization Name:DR. JOSEPH F. ZENO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:ZENO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-758-2303
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006455Z207R00000X
OHNP09022363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2116829Medicaid
GADG2155OtherRAILROAD MEDICARE GROUP NUMBER
OH2116829Medicaid
GADG2155OtherRAILROAD MEDICARE GROUP NUMBER