Provider Demographics
NPI:1295314367
Name:JOHNS, ZACHARY NATHANIEL
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:NATHANIEL
Last Name:JOHNS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ALLEGHENY CTR FL 7
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5227
Mailing Address - Country:US
Mailing Address - Phone:412-330-4461
Mailing Address - Fax:412-330-5844
Practice Address - Street 1:2001 LINCOLN WAY STE 310
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-2400
Practice Address - Country:US
Practice Address - Phone:412-672-7154
Practice Address - Fax:412-672-7159
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS024640207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine