Provider Demographics
NPI:1598746026
Name:JAEGER, RANDY (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDY
Middle Name:
Last Name:JAEGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050270L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014580520002Medicaid
0697788000OtherKEYSTONE HEALTH EAST
50053197OtherCAPITAL BLUE CROSS
755642OtherHIGHMARK BLUE SHIELD
P2407311OtherOXFORD HEALTH PLANS
821130OtherFIRST PRIORITY HEALTH
9164238OtherPRIVATE HEALTHCARE SYSTEM
405203OtherHEALTH AMERICA/HEALTH ASS
P00247879OtherRAILROAD MEDICARE
4326981OtherAETNA PPO
50053197OtherKEYSTONE HEALTH CENTRAL
0697788000OtherAMERIHEALTH
1049423OtherUNITED HEALTHCARE
0660184OtherCIGNA HEALTHCARE
0697788000OtherINDEPENDENCE BLUE CROSS
40440OtherGEISINGER HEALTH PLAN
2170423OtherMAMSI
405203OtherHEALTH AMERICA/HEALTH ASS
821130OtherFIRST PRIORITY HEALTH