Individual provider Active NPI

Gary Michael Zeigler, MD

  • Emergency Medicine Physician
  • Pendleton, OR
National Provider Identifier
1295772291
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD23743 Issued in OR
Practice address
1601 SE Court Avenue
Pendleton, OR 97801-3217
Phone
(541) 276-5121
Fax
(541) 278-3661
NPI assigned
May 31, 2006
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD23743 OR Primary

Addresses

Primary practice location

1601 SE Court Avenue
Pendleton, OR 97801-3217

Mailing address

505 S 336TH Street
Suite 600
Federal Way, WA 98003-6328
Phone (253) 838-6180

Other identifiers 3

IdentifierTypeStateIssuer
8350670MedicaidOR
041428009OtherORBSOR
286641MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20031125000719 OR Practitioner - Emergency MedicinePractitioner - Medical Oncology 5890699342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Medical Oncology
Education
University of Utah School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wallowa County Health Care DistrictGroup PAC ID 4183537566, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

601 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-5460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23746ORMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wallowa County Health Care District CurrentSince Aug 12, 2018 Accepting new patients
Wallowa County Health Care District CurrentSince Aug 12, 2018 Accepting new patients
Wallowa County Health Care District CurrentSince Jan 1, 2026 Accepting new patients
Tacoma Emergency Medicine Associates PC Emergency Medicine Past Accepting new patients
Wallowa County Health Care District Past Accepting new patients
Northwest Physician Associates, Apc Emergency Medicine Past Accepting new patients

Locations

601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1295772291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 336TH STREET",
            "address_2": "SUITE 600",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036328",
            "telephone_number": "253-838-6180",
            "fax_number": "253-838-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SE COURT AVENUE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013217",
            "telephone_number": "541-276-5121",
            "fax_number": "541-278-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIGLER",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD23743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8350670",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSOR",
            "identifier": "041428009",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286641",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.