MEDICARE: DR. ANNA S ZABRECKY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	35054483Z	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	160039310	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000021123	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0701211	OTHER	OH	UNITED HEALTCARE
5	288100	OTHER	OH	AMERIGROUP
6	290685086005	OTHER	OH	MEDICAL MUTUAL
7	54483	OTHER	OH	HUMANA
8	993554	OTHER	OH	AETNA
9	290685860004	OTHER	OH	MEDICAL MUTUAL
10	311575051046	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1033112321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA S ZABRECKY M.D.

Provider Business Mailing Address
First Line	:	7495 STATE RD
Second Line	:	STE 300
City	:	CINCINNATI
State	:	OH
Zip	:	45255-6402
Country	:	US
Telephone Number	:	513-231-3447
Fax Number	:	513-231-3761

Provider Business Practice Location Address
First Line	:	7495 STATE RD
Second Line	:	STE 300
City	:	CINCINNATI
State	:	OH
Zip	:	45255-6402
Country	:	US
Telephone Number	:	513-231-3447
Fax Number	:	513-231-3761

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	01/11/2013

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Directions to “ DR. ANNA S ZABRECKY M.D.” Practice Location

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