Provider Demographics
NPI:1992776033
Name:ZEHR, RALPH D (MD)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:D
Last Name:ZEHR
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 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-888-5858
Mailing Address - Fax:
Practice Address - Street 1:1 GUTHRIE SQ
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1625
Practice Address - Country:US
Practice Address - Phone:570-882-4035
Practice Address - Fax:570-882-5551
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD008400E2085R0202X
NY130260-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00379062OtherRR MEDICARE PIN
NYCC8362OtherRR MEDICARE GROUP
PACC9269OtherRR MEDICARE GROUP
NY00364998Medicaid
PA0006856550001Medicaid
PAGU039853OtherPA MEDICARE GROUP
NYRA0303Medicare ID - Type Unspecified
PACC9269OtherRR MEDICARE GROUP
PA018204N87Medicare PIN