Debra Ann Zimmer, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

031172 Issued in MN

Practice address

5101 Minnehaha Ave
Minneapolis, MN 55417-1647

Phone

(612) 548-5977

Fax

(612) 548-5903

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1245337898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 ALMOND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082520",
            "telephone_number": "651-644-2646",
            "fax_number": "612-548-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171647",
            "telephone_number": "612-548-5977",
            "fax_number": "612-548-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MN",
            "license": "031172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Zigelsky, PA-C
• Mary Rose Zika, L.I.C.S.W.
• Peter Zimbwa, MD
• Nichole Zimdars, NNP-BC
• Nicholas Zimet, L.AC.
• Emily Zimmer, MA, CCC-SLP
• Kimberly Kay Zimmer
• Stephanie Zimmerman-Childress, 301385
• Andrea Nicole Zimmerman, PT
• Benjamin Jacob Zimmerman, DPT

• Geriatric Medicine (Internal Medicine) Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.