Healthcare Provider Details

I. General information

NPI: 1710690722
Provider Name (Legal Business Name): ZACHERY HESS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6307 S MASON MONTGOMERY RD
MASON OH
45040-3716
US

IV. Provider business mailing address

7265 KENWOOD RD
CINCINNATI OH
45236-4400
US

V. Phone/Fax

Practice location:
  • Phone: 513-398-5821
  • Fax:
Mailing address:
  • Phone: 513-570-4011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2607113
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: