=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386537157
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HANNAH JO ZELLER MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/31/2025
-----------------------------------------------------
Last Update Date | 05/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 HAWKINS DR
-----------------------------------------------------
City | IOWA CITY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52242-1009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-356-1616
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3027 SANDY BEACH RD NE
-----------------------------------------------------
City | SWISHER
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52338-9591
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 319-310-5905
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | R-13526
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------