Individual
ZACHARY SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2138 25TH ST STE F, COLUMBUS, IN 47201-3241
(812) 376-3100
(812) 378-6191
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01073329A
IN
208100000X
Physical Medicine & Rehabilitation Physician
1073329A
IN
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
01073329A
IN
2081P0004X
Spinal Cord Injury Medicine Physician
1073329A
IN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1073329A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991156
ANTHEM PIN
—
05
—
201110840
—
IN
Enumeration date
05/19/2010
Last updated
11/21/2025
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