Provider Demographics
NPI:1790700771
Name:ZEIGLER, DONALD KEITH (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:KEITH
Last Name:ZEIGLER
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:PO BOX 1615
Mailing Address - Street 2:
Mailing Address - City:SODDY DAISY
Mailing Address - State:TN
Mailing Address - Zip Code:37384-1615
Mailing Address - Country:US
Mailing Address - Phone:423-451-7623
Mailing Address - Fax:423-756-7677
Practice Address - Street 1:4015 HIGHWOOD DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-3101
Practice Address - Country:US
Practice Address - Phone:423-451-7623
Practice Address - Fax:423-451-7677
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35091207Q00000X, 207QA0505X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH53221Medicare UPIN
TN3870124Medicare ID - Type Unspecified