Matthew Jacob Zimmie, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301078497 Issued in MI

Practice address

3600 Vista Avenue
Saint Louis, MO 63110-2540

Phone

(248) 990-4287

NPI assigned

Jan 23, 2006

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oakwood Healthcare, Inc.

  dba Beaumont Hospital - Dearborn

  • Diagnostic Radiology Physician
  • Dearborn, MI
  • NPI 1336174440
  Medicare reassignment NPD
• Oakwood Healthcare Inc

  dba Corewell Health Retail Pharmacy Westland

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD
• Oakwood Healthcare, Inc

  dba Oakwood Healthcare system

  • Surgery Physician
  • Dearborn, MI
  • NPI 1861666265
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1235109257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 VISTA AVENUE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102540",
            "telephone_number": "248-990-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 VISTA AVENUE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102540",
            "telephone_number": "248-990-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMIE",
        "first_name": "MATTHEW",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301078497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mzimmie345104@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mzimmie345104@direct-ehr-ssmhc.com",
            "address_1": "3600 Vista Avenue",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631102540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3600 Vista Avenue",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631102540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michele Marie Zimmerman, OTR/L
• Ofer Zimmerman, MD
• Kirk Zimmermann
• Melissa Ann Zimmermann, CCC-SLP
• Nina Anne Zimmermann, MSN, RN, ANP-BC,AE-C
• Andrew Joseph Zimolzak, M.D.
• Darryl Zinck, M.D.
• Anne Kathryn Zink, MSW, LCSW
• Julia Zink
• Thomas Zink, M.D.

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.