MEDICARE: KEITH L. ZELIGER DO

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	207X00000X	Orthopaedic Surgery Physician	OS-005944-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215955703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEITH L. ZELIGER DO

Provider Business Mailing Address
First Line	:	100 HOSPITAL AVE
Second Line	:
City	:	DU BOIS
State	:	PA
Zip	:	15801-1440
Country	:	US
Telephone Number	:	814-375-6549
Fax Number	:	814-372-2864

Provider Business Practice Location Address
First Line	:	761 JOHNSONBURG RD STE 310
Second Line	:
City	:	SAINT MARYS
State	:	PA
Zip	:	15857-3480
Country	:	US
Telephone Number	:	814-834-1686
Fax Number	:	814-834-6279

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	04/19/2021

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