Individual provider Active NPI

Eric L Zimmerman, DO

  • Neurology Physician
  • Mount Clemens, MI
National Provider Identifier
1053316059
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101014238 Issued in MI
Practice address
1030 Harrington St Ste Ll001
Mount Clemens, MI 48043-2918
Phone
(586) 493-3297
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101014238 MI Primary

Addresses

Primary practice location

1030 Harrington St Ste Ll001
Mount Clemens, MI 48043-2918

Mailing address

1030 Harrington St Ste Ll001
Mount Clemens, MI 48043-2918
Phone (586) 493-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322000594 MI Practitioner - Neurology 2961393848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (810) 493-8000

37399 Garfield Rd
Clinton Township, MI 48036-3672

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Macomb CurrentSince Aug 20, 2014 Accepting new patients
McLaren Northern Michigan CurrentSince Jan 27, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Jan 27, 2024 Accepting new patients
McLaren Macomb PastSince Jan 17, 2022 Accepting new patients

Locations

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

1030 Harrington St
Ste 205
Mount Clemens, MI 48043
Phone (586) 493-3195

1030 Harrington St
Ste LL001
Mount Clemens, MI 48043
Phone (586) 493-3297

1030 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3195

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

Organizations & group practices 4

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 4

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1053316059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST STE LL001",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432918",
            "telephone_number": "586-493-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST STE LL001",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432918",
            "telephone_number": "586-493-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ERIC",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101014238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.