Male or Other

Joseph S. Zickafoose MD

Pediatrics Physician in Nashville, TN(View on Map)

Full Name

Joseph Scott Zickafoose MD

NPI Number

1053524421

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/08/2007

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Michigan
Ohio
Ohio
Tennessee

License Number

4301095310
57009054
35089753
MD53314

Contact
Information

Purpose

Mailing
Location

Address

3841 GREEN HILLS VILLAGE DR STE 200
3601 THE VANDERBILT CLINIC

City

Nashville
Nashville

State

TN
TN

Postal Code

37215-2691
37232-5100

Country

US
US

Telephone Number

(615) 936-2000
(615) 322-3000

Identifiers

Identifier

751032
415059
1021146580001
000000527973
2766878
9569067
000000221308

Identifier State

OH
OH
PA
OH
OH
OH
OH

Identifier Issuer

BUCKEYE
WELLCARE
Unknown
ANTHEM
Unknown
AETNA
UNISON

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

jzickafoose36904@direct.vumc.org

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
Health Information Service Provider

Affiliation

N

Endpoint Location

3601 The Vanderbilt ClinicNashville, TN372325100US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/18/2022

Provider Address

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