Individual provider Active NPI

Keith M Zora, D.O.

  • Interventional Pain Medicine Physician
  • State College, PA
National Provider Identifier
1235207051
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS228950L Issued in PA
Practice address
476 Rolling Ridge Dr Ste 200
State College, PA 16801-7639
Phone
(814) 231-2101
Fax
(814) 231-8569
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X OS228950L PA Primary

Addresses

Primary practice location

476 Rolling Ridge Dr Ste 200
State College, PA 16801-7639

Mailing address

476 Rolling Ridge Dr Ste 200
State College, PA 16801-7639
Phone (814) 231-2101

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
I20050105000508 PA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7012965189 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS228950LPAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics Center, LTD CurrentSince Jan 1, 2005 Accepting new patients
University Orthopedics Center, LTD CurrentSince Jan 1, 2005 Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients

Locations

101 Regent Ct
State College, PA 16801
Phone (814) 231-1504

476 Rolling Ridge Dr
Ste 200
State College, PA 16801
Phone (814) 238-3000

Organizations & group practices 3

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235207051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 ROLLING RIDGE DR STE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017639",
            "telephone_number": "814-231-2101",
            "fax_number": "814-231-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 ROLLING RIDGE DR STE 200",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017639",
            "telephone_number": "814-231-2101",
            "fax_number": "814-231-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORA",
        "first_name": "KEITH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "OS228950L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.