Jack H Ziegler, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

01031712A Issued in IN

Practice address

1400 S Lake Park Ave
Suite 1400
Hobart, IN 46342-6636

Phone

(219) 942-6166

Fax

(219) 942-4106

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cardiovascular Consulting Associates, P.C.

  • Cardiovascular Disease Physician
  • Hobart, IN
  • NPI 1639232036
  Medicare reassignment Authorized official
• Center for Vein Restoration in, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hobart, IN
  • NPI 1790653897
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1609876861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "SUITE 1400",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426636",
            "telephone_number": "219-942-6166",
            "fax_number": "219-942-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "SUITE 1400",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426636",
            "telephone_number": "219-942-6166",
            "fax_number": "219-942-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "JACK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01031712A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100386290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Yager, APN
• Lauren Young, BCBA
• Ibrahim George Zabaneh, MD
• Mohamed F Zeitoun, MD
• Blair Ziants

• Cardiovascular Disease Physician in Hobart, IN
• Providers in Hobart, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.