Physician Compare National (NPI:1801908009)

HEALTHCARE PROVIDER: MARK J. ZEDAR DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801908009
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597663005
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031222000550
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZEDAR
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PSYCH SOLUTIONS INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4880856939
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2189 STILLWAGON RD SE
	Group Practice or individual's line 1 address
City	WARREN
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	444843169
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2162337730
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	510050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WHEELING HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360010
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNION HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360064
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST ELIZABETH YOUNGSTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y