Individual provider Active NPI

Keith L. Zeliger, DO

  • Orthopaedic Surgery Physician
  • Saint Marys, PA
National Provider Identifier
1215955703
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS-005944-L Issued in PA
Practice address
761 Johnsonburg Rd Ste 310
Saint Marys, PA 15857-3480
Phone
(814) 834-1686
Fax
(814) 834-6279
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS-005944-L PA Primary

Addresses

Primary practice location

761 Johnsonburg Rd Ste 310
Saint Marys, PA 15857-3480

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6549

Other identifiers 1

IdentifierTypeStateIssuer
001053250MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000963 PA Practitioner - Orthopedic Surgery 7113811035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-005944-LPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Orthopaedic Surgery CurrentSince Jan 1, 2005 Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 1, 2005 Accepting new patients

Locations

18 Sportsman Dr
Ste 20
Clarion, PA 16214
Phone (814) 226-1070

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

815 Doctors Dr
Ph
Clearfield, PA 16830
Phone (814) 205-1252

145 Hospital Ave
Ste 206
Dubois, PA 15801
Phone (814) 299-7432

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

761 Johnsonburg Rd
Ste 310
Saint Marys, PA 15857
Phone (814) 788-8577

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1215955703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6549",
            "fax_number": "814-372-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 JOHNSONBURG RD STE 310",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573480",
            "telephone_number": "814-834-1686",
            "fax_number": "814-834-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELIGER",
        "first_name": "KEITH",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS-005944-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001053250",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.