Individual
MARK ZAHNISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-7330
(216) 844-3781
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35066970
OH
207LA0401X
Addiction Medicine (Anesthesiology) Physician
35066970
OH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
35066970
OH
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
35066970
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35066970
OH
207LP3000X
Pediatric Anesthesiology Physician
35066970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225169
UNISON
OH
01
—
000000231404
ANTHEM BCBS
OH
01
—
000000532710
ANTHEM
OH
01
—
050085791
RAILROAD MEDICARE
OH
01
—
0583328
BCMH
OH
05
—
2183640
—
OH
01
—
341924447032
CARESOURCE
OH
05
—
364080614A
—
GA
01
—
414859
WELLCARE MEDICAID
OH
01
—
5166041
AETNA
OH
01
—
751194
BUCKEYE MEDICAID
OH
01
—
P00405859
RAILROAD MEDICARE
OH
Enumeration date
08/23/2005
Last updated
08/19/2010
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