Individual provider Active NPI

Robert Miles Zimmerman Jr., D.O.

  • Obstetrics & Gynecology Physician
  • Pottsville, PA
National Provider Identifier
1174529457
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS006936L Issued in PA
Practice address
171 Red Horse Rd
Pottsville, PA 17901-8898
Phone
(570) 628-2229
Fax
(570) 628-5185
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS006936L PA Primary

Addresses

Primary practice location

171 Red Horse Rd
Pottsville, PA 17901-8898

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

1245 S Cedar Crest Blvd Ste 201
Allentown, PA 18103-6258
Phone (610) 402-4870

Other identifiers 1

IdentifierTypeStateIssuer
0014098530001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000193 PA Practitioner - Obstetrics/Gynecology 5092790675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1245 S Cedar Crest Blvd
201 LVPG Obstetrics and Gynecology
Allentown, PA 18103-6258
Phone (610) 402-4870

Hospital & facility affiliations

  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006936LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Apr 21, 2023 Accepting new patients
Lehigh Valley Physician Group Obstetrics & Gynecology Current Accepting new patients
Lehigh Valley Physician Group Obstetrics & Gynecology CurrentSince Apr 21, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 4, 2022 Accepting new patients
Schuylkill Health System Medical Group, Inc. Obstetrics & Gynecology CurrentSince Feb 1, 2019 Accepting new patients
Hazleton Professional Services CurrentSince May 4, 2022 Accepting new patients
Comprehensive Women'S Health Services, P.C. Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Valley Health Partners Community Health Center Obstetrics & Gynecology Current Accepting new patients
Schuylkill Medical Center - East Norwegian Street PastSince Jun 28, 2009 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Lehigh Valley Hospital - Schuylkill Past Accepting new patients

Locations

1245 S Cedar Crest Blvd
Ste 201
Allentown, PA 18103
Phone (610) 402-4870

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

401 N 17th St
Ste 210
Allentown, PA 18104
Phone (610) 821-4920

1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

171 Red Horse Rd
Pottsville, PA 17901
Phone (570) 628-2229

437 N Centre St
Pottsville, PA 17901
Phone (570) 622-9860

205 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 622-1887

171 Red Horse Rd
Ste 1
Pottsville, PA 17901
Phone (570) 628-2229

6 S Greenview Rd
Schuylkill Haven, PA 17972
Phone (570) 366-3915

642 State Route 93 Hwy
Ste 1
Sugarloaf, PA 18249
Phone (570) 708-1505

224 Claremont Ave
Tamaqua, PA 18252
Phone (570) 628-2229

Interoperability endpoints

  • Direct secure messaging: rzimmerman334142@direct2.lvhn.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1174529457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RED HORSE RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018898",
            "telephone_number": "570-628-2229",
            "fax_number": "570-628-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 S Cedar Crest Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036258",
            "country_code": "US",
            "telephone_number": "610-402-4870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ROBERT",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS006936L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014098530001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.