Healthcare Provider Details

I. General information

NPI: 1124313614
Provider Name (Legal Business Name): ZACHARY WAYNE BEAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 MERCY HEALTH BLVD STE 500
CINCINNATI OH
45211
US

IV. Provider business mailing address

2200 JEFFERSON AVE FL 5
TOLEDO OH
43604-7102
US

V. Phone/Fax

Practice location:
  • Phone: 513-936-0500
  • Fax:
Mailing address:
  • Phone: 907-729-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number109905
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number35136977
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: