Peter John Zellmer, M.S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

359-156 Issued in WI

Practice address

1336 E Wisconsin Ave
Appleton, WI 54911-3969

Phone

(920) 733-7525

Fax

(920) 730-9403

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Haviland Hearing AIDS Inc.

  • Audiologist
  • Appleton, WI
  • NPI 1003947748
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023153251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 E WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113969",
            "telephone_number": "920-733-7525",
            "fax_number": "920-730-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 E WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113969",
            "telephone_number": "920-733-7525",
            "fax_number": "920-730-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLMER",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "359-156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41140700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI AUDIOLOGY LICENSE",
            "identifier": "359-156",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Afshin Fawad Zeb, MD
• Anthony Paul Zeimet, D.O.
• Brooke E Zelhofer, NP
• Jared Steven Zelinski, M.D.
• Kim L Zeller, MS
• Robin S Zellmer, RN
• Lulseged Zenebe, MD
• Kehua Zhou, M.D., D.P.T.
• Li Zhou, MD
• Michael J Ziegele, MD

• Audiologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.