Active NPI
Michael Taylor Zimmerman I, CP BOCOP
- Prosthetist
- Monroeville, PA
National Provider Identifier
1144712423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PO000019
- Practice address
- 4280 Old William Penn Hwy
Monroeville, PA 15146-1614 - Phone
- (412) 622-2020
- Fax
- (412) 372-7830
- NPI assigned
- Jun 3, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OH000039 | PA | |
| Prosthetist | 224P00000X | PO000019 | PA | Primary |
Addresses
Primary practice location
4280 Old William Penn Hwy
Monroeville, PA 15146-1614
Mailing address
121 Charlotte Dr
Ligonier, PA 15658-9207
Phone (724) 875-5334
Other practice location 1
969 Eisenhower Blvd Ste D
Johnstown, PA 15904-3326
Phone (814) 254-4840 ext. 193
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH000039 | PA | MD | Orthotist |
| PO000019 | PA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Orthotics & Prosthetics Co. | Orthotist | Past | Accepting new patients |
| Union Orthotics & Prosthetics Co. | 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.
-
- Prosthetic/Orthotic Supplier
- Monroeville, PA
- NPI 1245371418
-
- Prosthetic/Orthotic Supplier
- Johnstown, PA
- NPI 1700260502
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527984000000",
"number": "1144712423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CHARLOTTE DR",
"city": "LIGONIER",
"state": "PA",
"postal_code": "156589207",
"telephone_number": "724-875-5334",
"fax_number": "412-372-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 OLD WILLIAM PENN HWY",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151461614",
"telephone_number": "412-622-2020",
"fax_number": "412-372-7830"
}
],
"practiceLocations": [
{
"address_1": "969 Eisenhower Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Johnstown",
"state": "PA",
"postal_code": "159043326",
"country_code": "US",
"telephone_number": "814-254-4840 x193",
"fax_number": "412-372-7830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "MICHAEL",
"middle_name": "TAYLOR",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "CP BOCOP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-03",
"last_updated": "2018-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "PA",
"license": "OH000039",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "PA",
"license": "PO000019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.