Healthcare Provider Details

I. General information

NPI: 1245610872
Provider Name (Legal Business Name): ZACHARY AUSTIN MASTERS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 08/07/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

774 PRIOR HALL 376 W 10TH AVE
COLUMBUS OH
43210
US

IV. Provider business mailing address

774 PRIOR HALL 376 W 10TH AVE
COLUMBUS OH
43210
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-8306
  • Fax:
Mailing address:
  • Phone: 614-293-8306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number57.258496
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number29456
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: