Provider Demographics
NPI:1598746026
Name:JAEGER, RANDY (MD)
Entity type:Individual
Prefix:DR
First Name:RANDY
Middle Name:
Last Name:JAEGER
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 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050270L207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014580520002Medicaid
50053197OtherCAPITAL BLUE CROSS
821130OtherFIRST PRIORITY HEALTH
P00247879OtherRAILROAD MEDICARE
0697788000OtherINDEPENDENCE BLUE CROSS
40440OtherGEISINGER HEALTH PLAN
P2407311OtherOXFORD HEALTH PLANS
0697788000OtherKEYSTONE HEALTH EAST
1049423OtherUNITED HEALTHCARE
0660184OtherCIGNA HEALTHCARE
50053197OtherKEYSTONE HEALTH CENTRAL
4326981OtherAETNA PPO
755642OtherHIGHMARK BLUE SHIELD
0697788000OtherAMERIHEALTH
2170423OtherMAMSI
405203OtherHEALTH AMERICA/HEALTH ASS
9164238OtherPRIVATE HEALTHCARE SYSTEM
405203OtherHEALTH AMERICA/HEALTH ASS
821130OtherFIRST PRIORITY HEALTH