Individual provider Active NPI

Mitchell Evan Zuckerman, MD

  • Anesthesiology Physician
  • Gettysburg, PA
National Provider Identifier
1548242001
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD041460L Issued in PA
Practice address
147 Gettys St
Gettysburg, PA 17325-2534
Phone
(717) 337-4168
Fax
(717) 337-4142
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD041460L PA Primary

Addresses

Primary practice location

147 Gettys St
Gettysburg, PA 17325-2534

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 217-6072

Other practice location 2

1001 S George St
York, PA 17403-3676
Phone (717) 812-7687

Other practice location 3

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7164

Other practice location 4

25 Monument Rd
York, PA 17403-5060
Phone (717) 741-8250

Other practice location 5

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3425

Other practice location 6

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 646-4204

Other identifiers 8

IdentifierTypeStateIssuer
P00236480OtherPARAILROAD MEDICARE
001214253MedicaidPA
1529734OtherPAGATEWAY
50067116OtherPACAPITAL BLUE CROSS
41572OtherPAGEISINGER
0192512000OtherPAAMERIHEALTH 65 PA
027363OtherPAHIGHMARK BLUE SHIELD
20046655OtherPAAMERIHEALTH MERCY

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
I20041201000037 PA Practitioner - Anesthesiology 1355306440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Buffalo School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Gettysburg HospitalGroup PAC ID 2769373331, 66 clinicians

Practice addresses (Care Compare)

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 851-1405

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041460LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince May 6, 2024 Accepting new patients
Lehigh Anesthesia Associates, P.C. Anesthesiology CurrentSince Nov 29, 2004 Accepting new patients
The Gettysburg Hospital Anesthesiology CurrentSince Jul 1, 2006 Accepting new patients
The Gettysburg Hospital CurrentSince Jul 1, 2006 Accepting new patients
Wellspan Medical Group CurrentSince May 6, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Memorial Hospital Anesthesiology Past Accepting new patients

Locations

1611 Pond Rd
Ste 403
Allentown, PA 18104
Phone (610) 289-1210

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

147 Gettys St
#3786
Gettysburg, PA 17325
Phone (717) 334-4216

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

1803 Mount Rose Ave
Ste B3
York, PA 17403
Phone (717) 851-6816

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1001 S George St
York, PA 17403
Phone (717) 812-7687

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1548242001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GETTYS ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252534",
            "telephone_number": "717-337-4168",
            "fax_number": "717-337-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-812-7687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-7164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035060",
            "country_code": "US",
            "telephone_number": "717-741-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-3425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-646-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "MITCHELL",
        "middle_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD041460L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00236480",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001214253",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1529734",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50067116",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "41572",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65 PA",
            "identifier": "0192512000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "027363",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20046655",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.