Provider Demographics
NPI:1932160918
Name:ZERINGUE, MARK J (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:J
Last Name:ZERINGUE
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 1:421 N HOLLY AVE
Mailing Address - Street 2:PO BOX 689
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344
Mailing Address - Country:US
Mailing Address - Phone:919-663-3360
Mailing Address - Fax:919-663-2874
Practice Address - Street 1:421 N HOLLY AVE
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344
Practice Address - Country:US
Practice Address - Phone:919-663-3360
Practice Address - Fax:919-663-2874
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25476207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89911OtherBCBS
NC7989911Medicaid
0454069OtherUNITED HEALTHCARE
110070110OtherRAILROAD RETIRE
110070110OtherRAILROAD RETIRE
NC211806Medicare ID - Type Unspecified