Healthcare Provider Details

I. General information

NPI: 1013024793
Provider Name (Legal Business Name): RICHARD A ZINNI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 05/13/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13301 MILES AVE
CLEVELAND OH
44105-5521
US

IV. Provider business mailing address

7956 TYLER BLVD
MENTOR OH
44060-4806
US

V. Phone/Fax

Practice location:
  • Phone: 216-751-3100
  • Fax: 216-751-2480
Mailing address:
  • Phone: 440-255-4455
  • Fax: 440-255-4487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number34.003785
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number34-003785
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34-003785
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: