Healthcare Provider Details

I. General information

NPI: 1346219672
Provider Name (Legal Business Name): RONALD ZIPPER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 09/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

1927 BRAINARD RD
CLEVELAND OH
44124-3903
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-4508
  • Fax:
Mailing address:
  • Phone: 913-406-5971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberR7898
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number05-21679
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number012343
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: