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)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