MARY CLARE ZAK (NPI# 1871946822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871946822 |
| Entity Type | Individual |
| Full Name | MARY CLARE ZAK |
| Other Name | MARY CLARE MCFADDEN |
| Credential | NP |
| Practice Address |
970 W Wooster St Bowling Green OH 43402-2643 |
| Mailing Address |
745 Haskins Rd Ste B Bowling Green OH 43402-1600 |
| Practice Telephone | 4193526890 |
| Practice Fax Number | 4193532415 |
| Mailing Telephone | 4193737607 |
| Mailing Fax Number | 4193537076 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2018-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN.CNP.019560 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN.384323 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO BOARD OF NURSING | RN.384323 | 01 |
| OH | 0180146 | 05 | |
| OH | NURSE PRACTITIONER-OH BOARD OF NURSING | APRN.CNP.019560 | 01 |
| Street Address |
970 W WOOSTER ST |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282027 | Brian M O'neill | Dentist | 970 W Wooster St, Ste 126, Bowling Green, OH 43402-2643 | 2005-08-16 |
| 1386071652 | Promedica Genito-urinary Surgeons LLC | Urology | 970 W Wooster St, Suite 129, Bowling Green, OH 43402-2643 | 2013-10-02 |
| 1508121708 | Jamie Babcock | Registered Nurse | 970 W Wooster St, Bowling Green, OH 43402-2643 | 2012-07-12 |
| 1265728000 | Melissa Anne Moore | Pediatrics | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-1600 | 2011-06-20 |
| 1497910061 | Stephanie Marie Weckesser | Pediatrics | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2643 | 2008-07-23 |
| 1891956009 | Eric Scott Rader | Pediatrics | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2643 | 2008-06-19 |
| 1356516405 | Whc Medical Services LLC | Family Medicine | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2643 | 2008-04-29 |
| 1154441665 | Toledo Clinic Incorporated | Eyewear Supplier (Equipment, not the service) | 970 W Wooster St, Ste 221, Bowling Green, OH 43402 | 2007-03-29 |
| 1588796973 | Vision Associates Inc | Ophthalmology | 970 W Wooster St, Suite 221, Bowling Green, OH 43402-2643 | 2007-03-12 |
| 1063596567 | Elaine J Bruckner | Psychologist | 970 W Wooster St, Suite 124, Bowling Green, OH 43402-2643 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412079 | Jessica L Bostater | Nurse Practitioner | 970 W Wooster St Rm 130, Bowling Green, OH 43402-2652 | 2014-10-20 |
| 1790391753 | Allison Toon | Nurse Practitioner | 225 Natchez Trace Ave, Bowling Green, KY 42103-7995 | 2020-09-16 |
| 1023580339 | Lynne Zachman | Nurse Practitioner | 970 W Wooster St Rm 130, Bowling Green, OH 43402-2652 | 2018-12-27 |
| 1003309360 | Maria Streng | Nurse Practitioner | 970 W Wooster St Rm 130, Bowling Green, OH 43402-2652 | 2018-06-12 |
| 1396264396 | Lindsey Elizabeth Young | Nurse Practitioner | 225 Natchez Trace Ave, Bowling Green, KY 42103 | 2017-09-12 |
| 1790939924 | Cheryl Ann Jacobs | Nurse Practitioner | 1037 Conneaut Ave, Suite 203, Bowling Green, OH 43402-5301 | 2008-11-14 |
| 1043201445 | Kathy Davis Baker | Nurse Practitioner | 615 7th Ave, Bowling Green, KY 42101-6921 | 2005-11-03 |
| 1053309849 | Marjean Beck | Nurse Practitioner | 970 W Wooster St, Suite 130, Bowling Green, OH 43402-2643 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264675 | House Calls for Kids, LLC | Nurse Practitioner | 308 Taft St, Columbus Grove, OH 45830-1122 | 2020-10-28 |
| 1225637150 | Leesha Paulus | Nurse Practitioner | 7984 Windward Trace Cir Nw, Massillon, OH 44646-1176 | 2020-10-21 |
| 1861008948 | Amanda Marie Allmon | Nurse Practitioner | 5669 New Albany Rd W, New Albany, OH 43054-7589 | 2020-09-23 |
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1720640089 | Marybeth Kathleen Hannum | Nurse Practitioner | 6076 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-07-07 |
| 1558832758 | Kisandra Leigh Sanders | Nurse Practitioner | 3500 Wild Cherry Ave, Celina, OH 45822-2747 | 2018-12-16 |
| 1851869598 | Whitney Stine | Nurse Practitioner | 410 W 10th Ave Fl 7, Columbus, OH 43210-1240 | 2018-11-12 |
| 1194291070 | Helena Horwitz | Nurse Practitioner | 7200 Poe Ave Ste 201, Dayton, OH 45414-2799 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on MARY CLARE ZAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.