Provider Demographics
NPI:1124042270
Name:ZEITLER, JENNIFER WINEBERG (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:WINEBERG
Last Name:ZEITLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15851-1328
Mailing Address - Country:US
Mailing Address - Phone:814-653-8000
Mailing Address - Fax:814-653-9632
Practice Address - Street 1:522 E MAIN ST
Practice Address - Street 2:
Practice Address - City:REYNOLDSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15851-1328
Practice Address - Country:US
Practice Address - Phone:814-653-8000
Practice Address - Fax:814-653-9632
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063282L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016967330002Medicaid
PA339383OtherHIGHMARK BCBS
PAW330OtherGELSINGER
PAW330OtherGELSINGER
PAW330OtherGELSINGER