Basic Information
| Provider Information | |||||||||
| NPI: | 1598746026 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JAEGER | ||||||||
| FirstName: | RANDY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108070366 | ||||||||
| Practice Location | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108070366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2005 | ||||||||
| LastUpdateDate: | 08/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD050270L | PA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0014580520002 | 05 | PA | MEDICAID | 0697788000 | 01 | KEYSTONE HEALTH EAST | OTHER | 50053197 | 01 | CAPITAL BLUE CROSS | OTHER | 755642 | 01 | HIGHMARK BLUE SHIELD | OTHER | P2407311 | 01 | OXFORD HEALTH PLANS | OTHER | 821130 | 01 | FIRST PRIORITY HEALTH | OTHER | 9164238 | 01 | PRIVATE HEALTHCARE SYSTEM | OTHER | 405203 | 01 | HEALTH AMERICA/HEALTH ASS | OTHER | P00247879 | 01 | RAILROAD MEDICARE | OTHER | 4326981 | 01 | AETNA PPO | OTHER | 50053197 | 01 | KEYSTONE HEALTH CENTRAL | OTHER | 0697788000 | 01 | AMERIHEALTH | OTHER | 1049423 | 01 | UNITED HEALTHCARE | OTHER | 0660184 | 01 | CIGNA HEALTHCARE | OTHER | 0697788000 | 01 | INDEPENDENCE BLUE CROSS | OTHER | 40440 | 01 | GEISINGER HEALTH PLAN | OTHER | 2170423 | 01 | MAMSI | OTHER |