Look up the most recent NPI and PECOS records

Zachary Runyon

Family Medicine

Allopathic & Osteopathic Physicians

2201 Lexington Ave, Ashland, KY 41101-2843

PECOS Enrollment

Based on the most recent information from CMS, provider Zachary Runyon is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1265097125
Provider Type
Individual
Full Name
Runyon, Zachary
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/7/2019
Last Updated
7/22/2022

Contact Information

Practice Location

2201 Lexington Ave, Ashland, KY 41101-2843

(606) 408-4000

Unlisted Fax

Mailing Location

PO Box 2379, Ashland, KY 41105-2379

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License TP943 Kentucky
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Zachary Runyon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Dickess, Kristie

Ovp Health Care Inc

Shaffer, Matthew James

Ashland Hospital Corporation

Bellefonte Physician Services, Inc.

Eric F. Smith, Do Psc

Adams-Slone, Rita D

Murphy, Logan W

Smith, Audrey Renee

Detherage, James M