Healthcare Provider Details
I. General information
NPI: 1871541979
Provider Name (Legal Business Name): JEFFREY ZANGMEISTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/04/2006
Last Update Date: 03/29/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3100 PLAZA PROPERTIES BLVD
COLUMBUS OH
43219-1530
US
IV. Provider business mailing address
1606 TRENTWOOD RD
COLUMBUS OH
43221-2256
US
V. Phone/Fax
- Phone: 614-383-6000
- Fax: 614-383-6001
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | 35046723 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | 35046723 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: