Healthcare Provider Details

I. General information

NPI: 1811465420
Provider Name (Legal Business Name): BROOKE MCKENZIE ZAREMBA PA-C, MPAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 BELPAR ST NW
CANTON OH
44718-3603
US

IV. Provider business mailing address

5361 JOHNNYCAKE RDG NE
CANTON OH
44705-3067
US

V. Phone/Fax

Practice location:
  • Phone: 330-492-9200
  • Fax:
Mailing address:
  • Phone: 517-672-9113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number50.006624
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: