MEDICARE: MARK ZAHNISER MD

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	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	35066970	OH
2	207L00000X	Anesthesiology Physician	35066970	OH
3	207LA0401X	Addiction Medicine (Anesthesiology) Physician	35066970	OH
4	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician	35066970	OH
5	207LP2900X	Pain Medicine (Anesthesiology) Physician	35066970	OH
6	207LP3000X	Pediatric Anesthesiology Physician	35066970	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	050085791	OTHER	OH	RAILROAD MEDICARE
12	P00405859	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5166041	OTHER	OH	AETNA
3	000000231404	OTHER	OH	ANTHEM BCBS
4	000000532710	OTHER	OH	ANTHEM
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	0583328	OTHER	OH	BCMH
9	000000225169	OTHER	OH	UNISON
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	341924447032	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1396738548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ZAHNISER MD

Provider Business Mailing Address
First Line	:	24701 EUCLID AVE
Second Line	:	3RD FLOOR
City	:	EUCLID
State	:	OH
Zip	:	44117-1714
Country	:	US
Telephone Number	:	216-383-6616
Fax Number	:

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106
Country	:	US
Telephone Number	:	216-844-7330
Fax Number	:	216-844-3781

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	08/19/2010

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Directions to “ MARK ZAHNISER MD” Practice Location

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