MEDICARE: MRS. ZOE TOTH PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant	50.007268RX	OH

General Provider Information

NPI Number	:	1306351697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ZOE TOTH PA-C

Provider Business Mailing Address
First Line	:	8247 TWIN OAKS DR
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-1000
Country	:	US
Telephone Number	:	740-219-2997
Fax Number	:

Provider Business Practice Location Address
First Line	:	3557 EMBASSY PKWY STE 1021
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-8358
Country	:	US
Telephone Number	:	330-668-4242
Fax Number	:	330-668-4241

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2017
Last Update Date	:	11/01/2021

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