Healthcare Provider Details

I. General information

NPI: 1275515470
Provider Name (Legal Business Name): MARK CHRISTOPHER ZIEGLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 11/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 STATE RD ANESTHESIA INTENSIVE CARE CONSULTANTS INC
CINCINNATI OH
45255-2439
US

IV. Provider business mailing address

20 MEDICAL VILLAGE DR ANESTHESIA INTENSIVE CARE CONSULTANTS INC SUITE 258
EDGEWOOD KY
41017-5401
US

V. Phone/Fax

Practice location:
  • Phone: 859-341-7246
  • Fax: 859-341-7867
Mailing address:
  • Phone: 859-341-7246
  • Fax: 859-341-7867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35069520Z
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: