MEDICARE: JAMES MATTHEW ZAENGLEIN MD

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	2085R0202X	Diagnostic Radiology Physician	ME67114	FL
2	2085R0202X	Diagnostic Radiology Physician	MD2003-0775	NM
3	2085R0202X	Diagnostic Radiology Physician	MEDS5514	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME83674	OTHER	FL	WORKMAN'S COMP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083704134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MATTHEW ZAENGLEIN MD

Provider Business Mailing Address
First Line	:	5655 HUDSON DR STE 210
Second Line	:	ARIS RADIOLOGY
City	:	HUDSON
State	:	OH
Zip	:	44236-4455
Country	:	US
Telephone Number	:	330-655-1869
Fax Number	:	330-655-3828

Provider Business Practice Location Address
First Line	:	2812 S OCEAN SHORE BLVD
Second Line	:
City	:	FLAGLER BEACH
State	:	FL
Zip	:	32136-4015
Country	:	US
Telephone Number	:	904-710-3505
Fax Number	:

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	04/10/2026

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