Provider Demographics
NPI:1215933155
Name:JAARA, ZIAD (MD)
Entity type:Individual
Prefix:
First Name:ZIAD
Middle Name:
Last Name:JAARA
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 1:2150 W CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3846
Mailing Address - Country:US
Mailing Address - Phone:419-291-5599
Mailing Address - Fax:419-291-6466
Practice Address - Street 1:2150 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3846
Practice Address - Country:US
Practice Address - Phone:419-291-5599
Practice Address - Fax:419-291-6466
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35063131208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000561986OtherANTHEM
OH0914265OtherBCMH BUREAU CHILDREN W/ME
OH71283OtherNATIONWIDE
MI141976OtherPRIORITY HEALTH
MI4081867Medicaid
OH000000064893OtherANTHEM COMMERICAL
OH344428256054OtherCARESOURCES
OH01514OtherPARAMOUNT
OH0914265Medicaid
OH000000064893OtherANTHEM MEDICAID
OH344428256OtherEMERALD
MI7339OtherHEALTH PLAN OF MI
OH344428256031OtherHEALTHNET FEDERAL SER
MI5903139OtherPRIORITY HEALTH
OH2350638003OtherCIGNA
02236OtherPARAMOUNT
MI4359989Medicaid
OH5903139OtherAETNA
OH01514OtherPARAMOUNT
02236OtherPARAMOUNT
MI141976OtherPRIORITY HEALTH
OH0808543Medicare PIN
OHJA7251981Medicare PIN