Individual provider Active NPI

Frank Allen Zimba, M.D.

  • Neurological Surgery Physician
  • Cooperstown, NY
National Provider Identifier
1154324135
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
197137 Issued in NY
Practice address
286 County Highway 33
Cooperstown, NY 13326-4728
Phone
(716) 640-1670
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD054300L PA
Neurological Surgery Physician 207T00000X 197137 NY Primary

Addresses

Primary practice location

286 County Highway 33
Cooperstown, NY 13326-4728

Mailing address

286 County Highway 33
Cooperstown, NY 13326-4728
Phone (607) 286-7933

Other identifiers 1

IdentifierTypeStateIssuer
01522476MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040513000177 NY Practitioner - Neurosurgery 7810986197 Reassigns benefits to 1 organization
Practice locations: Cooperstown, NY
I20091016000080 OK Practitioner - Neurosurgery 7810986197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197137NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Sep 1, 2020 Accepting new patients
Tri-State Pain Institute LLC PastSince Mar 21, 2022 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1154324135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 COUNTY HIGHWAY 33",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133264728",
            "telephone_number": "607-286-7933",
            "fax_number": "607-286-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 COUNTY HIGHWAY 33",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133264728",
            "telephone_number": "716-640-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBA",
        "first_name": "FRANK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD054300L",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "197137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01522476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooperstown, NY

Sources for this page

Verify at the official NPI Registry.