MEDICARE: TODD A ZACOUR D.O.

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	207Q00000X	Family Medicine Physician	34004146Z	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275523599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD A ZACOUR D.O.

Provider Business Mailing Address
First Line	:	3515 MASSILLON RD
Second Line	:	SUITE 300
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-6400
Country	:	US
Telephone Number	:	330-899-9350
Fax Number	:	330-634-1329

Provider Business Practice Location Address
First Line	:	4880 S MAIN ST
Second Line	:	SUITE 4
City	:	AKRON
State	:	OH
Zip	:	44319-4474
Country	:	US
Telephone Number	:	330-644-2700
Fax Number	:

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	09/12/2016

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Directions to “ TODD A ZACOUR D.O.” Practice Location

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