Provider Demographics
NPI:1215929948
Name:ZOARSKI, GREGG H (MD)
Entity type:Individual
Prefix:DR
First Name:GREGG
Middle Name:H
Last Name:ZOARSKI
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 1:4755 OGLETOWN STANTON RD STE 1E10
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-2200
Mailing Address - Country:US
Mailing Address - Phone:302-733-1487
Mailing Address - Fax:302-733-1888
Practice Address - Street 1:1 TAMPA GENERAL CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3571
Practice Address - Country:US
Practice Address - Phone:904-399-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00097882085R0202X, 2085R0204X, 2085N0700X
MDD00433832085R0202X, 2085R0204X
FLME1382422085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD967707OtherAETNA HMO
MDKC46SHOtherCAREFIRST BCBS MARYLAND
MD110800000 182521300Medicaid
MD3811 0013OtherCAREFIRST BCBS
MD110800000 182521300Medicaid
MD967707OtherAETNA HMO
MD545L 785VMedicare PIN
MD865L207EMedicare PIN