Christian G Zimmerman PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

M6164 Issued in ID

Legal business name

CHRISTIAN G ZIMMERMAN PA

Practice address

6140 Curtisian Ave
Suite 400
Boise, ID 83704-8880

Phone

(208) 367-3500

Fax

(208) 367-2968

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Christian G Zimmerman, MDNPI 1407874068

Title

Owner Manager

Phone

(208) 367-3500

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian G Zimmerman, MD

  • Neurological Surgery Physician
  • Boise, ID
  • NPI 1407874068
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1063432409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 CURTISIAN AVE",
            "address_2": "SUITE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048880",
            "telephone_number": "208-367-3500",
            "fax_number": "208-367-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 CURTISIAN AVE",
            "address_2": "SUITE 400",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048880",
            "telephone_number": "208-367-3500",
            "fax_number": "208-367-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN G ZIMMERMAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "208-367-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "ID",
            "license": "M6164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF  IDAHO GROUP",
            "identifier": "8J711",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807730000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002733000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "057633",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPTMANT OF LABOR",
            "identifier": "185367100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPARTMENT OF LABOR",
            "identifier": "58097",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott L Christensen, MD
• Scott Ryan Christensen, M.D.
• Jalane Christenson, LMT
• Celeste Renee Christesen, PA-C
• Patrice Christesen
• Jasmine Christie
• Constance C Christofferson, RPH
• Christopher R Wells DMD PC
• Christopher Vaughan, MD PLLC
• Christopher W Hammerle MD CHTD

• Neurological Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Neurological Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.