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NPI Code Detail

MEDICARE: DR. ZACKERY JOHN BARILE DO

MEDICARE: DR. ZACKERY JOHN BARILE DO
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
1390200000XStudent in an Organized Health Care Education/Training Program58.035709OH

General Provider Information

NPI Number : 1912841909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACKERY JOHN BARILE DO
Provider Business Mailing Address
First Line : 12442 CONCORD HAMBDEN RD
Second Line :
City : CONCORD TOWNSHIP
State : OH
Zip : 44077-9564
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0002
Country : US
Telephone Number : 216-444-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2026
Last Update Date : 04/18/2026

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