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Mark Ziegler

Physician Assistant in Lebanon, IN. Individual provider (NPI-1).

NPI number1376366336
StatusActive
Last updated in NPPESNov 6, 2024

Details

NPI
1376366336
Entity type
Individual (NPI-1)
Name
Mark Ziegler
Sex
Male
Sole proprietor
No
Enumeration date
Nov 6, 2024
Certification date
Nov 6, 2024
Last updated
Nov 6, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

2705 N Lebanon St Ste 300
Lebanon, IN 46052-8622

Phone 765-482-8649

Mailing address

8910 Warwick Castle Ln Apt 1113
Indianapolis, IN 46250-5636

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Lebanon, IN

All 6 Physician Assistant providers in Lebanon · All 597 providers in Lebanon

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