=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477310498
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ZACHARY CHARLES MORRISON RD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2024
-----------------------------------------------------
Last Update Date | 10/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 250 DEBARTOLO PL STE 1200
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44512-7004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 234-287-6710
-----------------------------------------------------
Fax | 234-287-6711
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 DEBARTOLO PL STE 200
-----------------------------------------------------
City | YOUNGSTOWN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44512-6095
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-729-8145
-----------------------------------------------------
Fax | 330-965-5229
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | LD.7680
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | DN005651
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------