Active NPI
Wayne Michael Zimmer, MD
- Otolaryngology Physician
- New Castle, PA
National Provider Identifier
1174634836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD045449L
- Practice address
- 3126 Wilmington Rd
New Castle, PA 16105-1132 - Phone
- (724) 656-5050
- Fax
- (724) 658-2648
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD045449L | PA | Primary |
Addresses
Primary practice location
3126 Wilmington Rd
New Castle, PA 16105-1132
Mailing address
3126 Wilmington Rd
New Castle, PA 16105-1132
Phone (724) 656-5050
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045449L | PA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174634836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 WILMINGTON RD",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051132",
"telephone_number": "724-656-5050",
"fax_number": "724-658-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 WILMINGTON RD",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051132",
"telephone_number": "724-656-5050",
"fax_number": "724-658-2648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "WAYNE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD045449L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, PA
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.