MEDICARE: DR. MICHAEL A ZIEV D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS003262L	PA
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	OS003262L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	013924461	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6116497	OTHER	PA	CIGNA
2	1026001	OTHER	PA	KEYSTONE MERCY
4	ZI1497030	OTHER	PA	HIGHMARK
5	2193875001	OTHER	PA	KEYSTONE
6	5677297	OTHER		AETNA PPO
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	2425558	OTHER		UNITEDHEALTHCARE
9	OS003262L	OTHER	PA	LICENSE
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1497030	OTHER	PA	PERSONAL CHOICE IBC
12	21567	OTHER	PA	HEALTHPARTNERS

General Provider Information

NPI Number	:	1083612485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A ZIEV D.O.

Provider Business Mailing Address
First Line	:	1800 FOX CHASE RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-1827
Country	:	US
Telephone Number	:	215-745-0300
Fax Number	:	215-745-3855

Provider Business Practice Location Address
First Line	:	1800 FOX CHASE RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-1827
Country	:	US
Telephone Number	:	215-745-0300
Fax Number	:	215-745-3855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	09/14/2011

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