Provider Demographics
NPI:1306869292
Name:ZUG, P. RONALD (MD)
Entity type:Individual
Prefix:
First Name:P.
Middle Name:RONALD
Last Name:ZUG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL DR STE 306
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9350
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:235 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9306
Practice Address - Country:US
Practice Address - Phone:570-522-2550
Practice Address - Fax:570-768-3702
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014367E207RC0000X, 207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB36171OtherHEALTH AMERICA
PAP00161051OtherRAILROAD MEDICARE
PA0005938580001Medicaid
PA50025240OtherCAPITAL BLUE CROSS
PA94286OtherBLUE SHIELD
PA20011512OtherAMERIHEALTH
PA232809429OtherTRICARE
PA50025240OtherKEYSTONE
PA118438710OtherDEPARTMENT OF LABOR
PA36504363HOtherGEISINGER
PAP00161051OtherRAILROAD MEDICARE
PA50025240OtherKEYSTONE