Individual provider Active NPI

Glenn E Ziemski, M.D.

  • Emergency Medicine Physician
  • Springfield, OR
National Provider Identifier
1093783995
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD25076 Issued in OR
Practice address
36995 Wallace Creek Rd
Springfield, OR 97478-8542
Phone
(541) 687-1066
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD25076 OR
Emergency Medicine Physician 207P00000X MD25076 OR Primary

Addresses

Primary practice location

36995 Wallace Creek Rd
Springfield, OR 97478-8542

Mailing address

36995 Wallace Creek Rd
Springfield, OR 97478-8542
Phone (541) 687-1066

Other identifiers 1

IdentifierTypeStateIssuer
287893MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25076ORMDFamily Medicine Physician
025209WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Emergency Physicians Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gziemski9740@direct.peacehealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1093783995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36995 WALLACE CREEK RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974788542",
            "telephone_number": "541-687-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36995 WALLACE CREEK RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974788542",
            "telephone_number": "541-687-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMSKI",
        "first_name": "GLENN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD25076",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD25076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287893",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.