Active NPI
Ethel Marsha Ziselman, MD
- Dermatopathology Physician
- Malvern, PA
National Provider Identifier
1174585418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- MD022508E
- Practice address
- 2 Castlebar LN
Malvern, PA 19355 - Phone
- (610) 337-0950
- Fax
- (610) 265-3560
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD022508E | PA | |
| Dermatopathology Physician | 207ND0900X | MD022508E | PA | Primary |
| Cytopathology Physician | 207ZC0500X | MD022508E | PA |
Addresses
Primary practice location
2 Castlebar LN
Malvern, PA 19355
Mailing address
2 Castlebar LN
Malvern, PA 19355
Phone (610) 337-0950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1174585418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CASTLEBAR LN",
"city": "MALVERN",
"state": "PA",
"postal_code": "19355",
"telephone_number": "610-337-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CASTLEBAR LN",
"city": "MALVERN",
"state": "PA",
"postal_code": "19355",
"telephone_number": "610-337-0950",
"fax_number": "610-265-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZISELMAN",
"first_name": "ETHEL",
"middle_name": "MARSHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD022508E",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "PA",
"license": "MD022508E",
"primary": true
},
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "PA",
"license": "MD022508E",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.