Active NPI
John F Zimmerman, M.D.
- Internal Medicine Physician
- Lewes, DE
National Provider Identifier
1215974894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C1-0012226
- Practice address
- 301 Ocean View Blvd
Lewes, DE 19958-1269 - Phone
- (410) 548-2343
- Fax
- (844) 332-3891
- NPI assigned
- Jun 1, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D83821 | MD | |
| Internal Medicine Physician | 207R00000X | 0101233779 | VA | |
| Internal Medicine Physician | 207R00000X | C1-0012226 | DE | Primary |
Addresses
Primary practice location
301 Ocean View Blvd
Lewes, DE 19958-1269
Mailing address
301 Ocean View Blvd
Lewes, DE 19958-1269
Phone (410) 548-2343
Other practice location 1
4461 Starkey Road
Suite 201
Roanoke, VA 24018
Phone (540) 345-4946
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465493 | Other | VA | ANTHEM |
| 4478445 | Other | VA | AETNA |
| 325908 | Other | VA | SOUTHERN HEALTH |
| 1215974894 | Medicaid | VA | |
| 1060654 | Other | VA | CIGNA |
| 110248478 | Other | VA | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Hollow Health PC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1003700071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215974894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 OCEAN VIEW BLVD",
"city": "LEWES",
"state": "DE",
"postal_code": "199581269",
"telephone_number": "410-548-2343",
"fax_number": "844-332-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OCEAN VIEW BLVD",
"city": "LEWES",
"state": "DE",
"postal_code": "199581269",
"telephone_number": "410-548-2343",
"fax_number": "844-332-3891"
}
],
"practiceLocations": [
{
"address_1": "4461 STARKEY ROAD",
"address_2": "SUITE 201",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "24018",
"country_code": "US",
"telephone_number": "540-345-4946",
"fax_number": "540-343-7693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D83821",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101233779",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0012226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "465493",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4478445",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "325908",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215974894",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1060654",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110248478",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.