Provider Demographics
NPI:1083612485
Name:ZIEV, MICHAEL A (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:ZIEV
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 FOX CHASE RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1827
Mailing Address - Country:US
Mailing Address - Phone:215-745-0300
Mailing Address - Fax:215-745-3855
Practice Address - Street 1:1800 FOX CHASE RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1827
Practice Address - Country:US
Practice Address - Phone:215-745-0300
Practice Address - Fax:215-745-3855
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-09
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003262L207Q00000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6116497OtherCIGNA
PA1026001OtherKEYSTONE MERCY
013924461OtherMEDICARE RAILROAD
PAZI1497030OtherHIGHMARK
PA2193875001OtherKEYSTONE
5677297OtherAETNA PPO
PA0006134130001Medicaid
2425558OtherUNITEDHEALTHCARE
PAOS003262LOtherLICENSE
PA0613413Medicaid
PA1497030OtherPERSONAL CHOICE IBC
PA21567OtherHEALTHPARTNERS
PA21567OtherHEALTHPARTNERS
PA1026001OtherKEYSTONE MERCY