Provider Demographics
NPI:1851405567
Name:ZEHNER, JAMES M (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:ZEHNER
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 1:603 N PERRY ST
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16354-1151
Mailing Address - Country:US
Mailing Address - Phone:814-827-4399
Mailing Address - Fax:
Practice Address - Street 1:231 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:PA
Practice Address - Zip Code:16341-9722
Practice Address - Country:US
Practice Address - Phone:814-589-7066
Practice Address - Fax:814-589-5275
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020868E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006816290001Medicaid
PAP00285399OtherRAILROAD MEDICARE
PA007167Medicare PIN
PAP00285399OtherRAILROAD MEDICARE