Provider Demographics
NPI:1386692697
Name:ZEMBLE, HERBERT A (DO)
Entity type:Individual
Prefix:
First Name:HERBERT
Middle Name:A
Last Name:ZEMBLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 ACADEMY RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1120
Mailing Address - Country:US
Mailing Address - Phone:215-632-4000
Mailing Address - Fax:215-632-1661
Practice Address - Street 1:10101 ACADEMY RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1120
Practice Address - Country:US
Practice Address - Phone:215-632-4000
Practice Address - Fax:215-632-1661
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS002222L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00712171-01OtherAMERICHOICE
PA1302952OtherCIGNA
PA080104542OtherRAILROAD MEDICARE
PA667064OtherFIRST HEALTH
PA0007121710004Medicaid
PA18170OtherHEALTH PARTNERS
PA0007121710001Medicaid
PA0007121710003Medicaid
PA1699026OtherPHCS
PA0057914000OtherIBC,KEYSTONE
PA041607OtherHIGHMARK BLUE SHIELD
PA1025867OtherKEYSTONE MERCY
PA1242354OtherUNITED HEALTHCARE
PAPA0034661OtherTRICARE
PA041607OtherPERSONAL CHOICE
PA19192OtherAETNA
PA5275OtherCLEARCARE
PA0057914000OtherIBC,KEYSTONE
PA1699026OtherPHCS