Active NPI
Kathy Ann Zimmer, PA
- Surgical Physician Assistant
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9102562
- Practice address
- 6550 N Federal Hwy
Suite 512
Fort Lauderdale, FL 33308-1404 - Phone
- (954) 267-8777
- Fax
- (954) 772-7801
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9102562 | FL | Primary |
Addresses
Primary practice location
6550 N Federal Hwy
Suite 512
Fort Lauderdale, FL 33308-1404
Mailing address
6550 N Federal Hwy
Suite 512
Fort Lauderdale, FL 33308-1404
Phone (954) 267-8777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U4514Y | Other | FL | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000
2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (941) 261-9000
5741 Bee Ridge Rd
Sarasota, FL 34233-5064
Phone (941) 342-1303
5741 Bee Ridge Rd
Suite 450
Sarasota, FL 34233-5081
Phone (941) 951-2663
660 Glades Rd
Suite 360
Boca Raton, FL 33431-6469
Phone (561) 391-5515
Hospital & facility affiliations
- Amedisys Home Health
- Sarasota Memorial Hospital - Venice
- HCA Florida Sarasota Doctors Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Florida, LLC | Current | Accepting new patients | |
| Ortho Florida, LLC | Current | Accepting new patients | |
| Sarasota Orthopedic Associates LLC | Past | Accepting new patients |
Locations
660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792
5985 Silver Falls Run
Ste 101
Lakewood Ranch, FL 34211
Phone (833) 320-7246
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
5504 Pinebrook Rd
Ste 201
North Venice, FL 34275
Phone (941) 552-3318
1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
5741 Bee Ridge Rd
Ste 450
Sarasota, FL 34233
Phone (941) 214-2864
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Boca Raton, FL
- NPI 1821113192
-
- Specialist
- Pompano Beach, FL
- NPI 1104866581
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Boca Raton, FL
- NPI 1558325332
-
- Orthopaedic Surgery Physician
- Ft Lauderdale, FL
- NPI 1225833858
-
- Orthopaedic Surgery Physician
- Nokomis, FL
- NPI 1013976422
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1043392038
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1023017704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 N FEDERAL HWY",
"address_2": "SUITE 512",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081404",
"telephone_number": "954-267-8777",
"fax_number": "954-772-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 N FEDERAL HWY",
"address_2": "SUITE 512",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333081404",
"telephone_number": "954-267-8777",
"fax_number": "954-772-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "KATHY",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9102562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "U4514Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.