Active NPI
Harry G Zegel, MD
- Diagnostic Radiology Physician
- Paoli, PA
National Provider Identifier
1710062146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD018034E
- Practice address
- 255 W Lancaster Ave
Paoli, PA 19301-1763 - Phone
- (610) 648-1000
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD018034E | PA | Primary |
Addresses
Primary practice location
255 W Lancaster Ave
Paoli, PA 19301-1763
Mailing address
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (610) 648-1000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2707525 | Other | PA | AETNA |
| 0057472000 | Other | PA | KEYSTONE HEALTHPLAN EAST |
| 0009209420015 | Medicaid | PA | |
| 0092094206 | Other | PA | AMERICHOICE |
| 401063 | Other | PA | BLUE SHIELD PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD018034E | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Health Imaging LP | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Wynnewood, PA
- NPI 1477504264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1710062146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011763",
"telephone_number": "610-648-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011763",
"telephone_number": "610-648-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEGEL",
"first_name": "HARRY",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD018034E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2707525",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTHPLAN EAST",
"identifier": "0057472000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009209420015",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0092094206",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PA",
"identifier": "401063",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.