Provider Demographics
NPI:1093857500
Name:ZEIGLER, JAMES A JR (AUD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:ZEIGLER
Suffix:JR
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 3RD AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5816
Mailing Address - Country:US
Mailing Address - Phone:570-714-2656
Mailing Address - Fax:570-714-2799
Practice Address - Street 1:403 3RD AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5802
Practice Address - Country:US
Practice Address - Phone:570-714-2656
Practice Address - Fax:570-714-2799
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-000-191-L231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1587985OtherBLUE SHIELD
PA206892TOPOtherBC-BS FREEDOM BLUE PPO
PA1587985OtherPEBTF-BS
PA819309OtherHMO 1ST PRIORITY
PA0017419370004Medicaid
PA0017419370003Medicaid
PA1587985OtherBC-BS PPO
PA171322OtherUNISON-MED PLUS
PA0017419370004Medicaid
PA0017419370003Medicaid