Amanda Susan Zimmermann, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-04695 Issued in OH

Practice address

36925 Detroit Rd
Avon, OH 44011

Phone

(440) 937-8480

Fax

(330) 723-1881

NPI assigned

Jun 19, 2017

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Female

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 1

Other names 1

• Amanda Susan Zagorski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1043740384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36925 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-937-8480",
            "fax_number": "330-723-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36925 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-937-8480",
            "fax_number": "330-723-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "AMANDA",
        "middle_name": "SUSAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC-04695",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ZAGORSKI",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aliann M Young, DC
• Rebecca Ann Young, OTR/L
• Albert Paul Zakel, D.D.S.
• Beth Zanick, CNP
• Salena D Zanotti, MD

• Chiropractor in Avon, OH
• Providers in Avon, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.