Individual
DR. JOHN PATRICK ZISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 500, CINCINNATI, OH 45245-1318
(513) 753-7488
(513) 753-7879
Mailing address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 500, CINCINNATI, OH 45245-1318
(513) 753-7488
(513) 753-7879
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35-07-0596-Z
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000382636
ANTHEM
OH
01
—
0114638
UNITED HEALTHCARE
OH
05
—
0307420
—
OH
01
—
8246385
CIGNA
OH
01
—
P00313803
MEDICARE RAILROAD
OH
Enumeration date
06/15/2005
Last updated
09/30/2013
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