Active NPI
Thomas Eugene Zimmer, D.O.
- Anesthesiology Physician
- Xenia, OH
National Provider Identifier
1104808591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34-003356
- Practice address
- 2482 Stewart Rd
Xenia, OH 45385-8932 - Phone
- (937) 376-9987
- NPI assigned
- Nov 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34-003356 | OH | Primary |
Addresses
Primary practice location
2482 Stewart Rd
Xenia, OH 45385-8932
Mailing address
2482 Stewart Rd
Xenia, OH 45385-8932
Phone (937) 376-9987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-003356 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consolidated Anesthesiologists Inc | Anesthesiology | Past | Accepting new patients |
| Clinton Anesthesia Associates Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Wilmington, OH
- NPI 1053532390
-
dba Anesthesia Associates Of Northwest Dayton Inc
- Anesthesiology Physician
- Dayton, OH
- NPI 1952377798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104808591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2482 STEWART RD",
"city": "XENIA",
"state": "OH",
"postal_code": "453858932",
"telephone_number": "937-376-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2482 STEWART RD",
"city": "XENIA",
"state": "OH",
"postal_code": "453858932",
"telephone_number": "937-376-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "THOMAS",
"middle_name": "EUGENE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "34-003356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.