Charles J Zimmermann DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

KY206 Issued in KY

Legal business name

CHARLES J ZIMMERMANN DPM

Practice address

105 Citation Dr
Suite D
Danville, KY 40422-8633

Phone

(859) 236-5140

Fax

(859) 236-5153

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles John Zimmermann, DPMNPI 1245248145

Title

Physician

Phone

(859) 236-5140

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Charles J Zimmermann, DPM

  • Podiatrist
  • Lexington, KY
  • NPI 1245248145
  NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1114142973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CITATION DR",
            "address_2": "SUITE D",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228633",
            "telephone_number": "859-236-5140",
            "fax_number": "859-236-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CITATION DR",
            "address_2": "SUITE D",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228633",
            "telephone_number": "859-236-5140",
            "fax_number": "859-236-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J ZIMMERMANN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMANN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "859-236-5140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "KY206",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "00206",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": "00206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000066482",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002066",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christian Care Communities, Inc.

• Podiatrist in Danville, KY
• Providers in Danville, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.