Individual provider Active NPI

Kathy Ann Zimmer, PA

  • Surgical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1023017704
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9102562 Issued in FL
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

Updated by the provider on Sep 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
U4514YOtherFLMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000086 FL Practitioner - Physician Assistant 7113967944 Reassigns benefits to 3 organizations

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
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

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 Home health agency, Port Charlotte, FL, CCN 108270
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Nov 1, 2024 Accepting new patients
Ortho Florida, LLC CurrentSince Nov 1, 2024 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.