Individual provider Active NPI

Pedro F Danziger, M.D.

  • Ophthalmology Physician
  • Hagerstown, MD
National Provider Identifier
1962489849
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0016969 Issued in MD
Practice address
1150 Professional CT
Suite B
Hagerstown, MD 21740-4100
Phone
(301) 797-8788
Fax
(301) 797-2218
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0016969 MD Primary

Addresses

Primary practice location

1150 Professional CT
Suite B
Hagerstown, MD 21740-4100

Mailing address

825 5TH Ave
Suite 102
Chambersburg, PA 17201-4213
Phone (717) 262-9700

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, Physician Assistant

State licenses

LicenseStateTypeSpecialty
D0016969MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1962489849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 5TH AVE",
            "address_2": "SUITE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014213",
            "telephone_number": "717-262-9700",
            "fax_number": "717-262-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PROFESSIONAL CT",
            "address_2": "SUITE B",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404100",
            "telephone_number": "301-797-8788",
            "fax_number": "301-797-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZIGER",
        "first_name": "PEDRO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0016969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.