Organization Active NPI

Stanley J. Zimmerman, M.D. and Associates

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1275712572
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C5307 Issued in TX
Legal business name
STANLEY J. ZIMMERMAN, M.D. AND ASSOCIATES
Practice address
7707 Fannin St
Suite 250
Houston, TX 77054-1926
Phone
(713) 797-9999
Fax
(713) 795-4651
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Mr. Scott Cornwall
Title
Business Office Manager
Phone
(713) 797-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X C5307 TX Primary

Addresses

Primary practice location

7707 Fannin St
Suite 250
Houston, TX 77054-1926

Mailing address

7707 Fannin St
Suite 250
Houston, TX 77054-1926
Phone (713) 797-9999

Other identifiers 1

IdentifierTypeStateIssuer
083791601MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1275712572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST",
            "address_2": "SUITE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541926",
            "telephone_number": "713-797-9999",
            "fax_number": "713-795-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST",
            "address_2": "SUITE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541926",
            "telephone_number": "713-797-9999",
            "fax_number": "713-795-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J. ZIMMERMAN, M.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "CORNWALL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "713-797-9999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "C5307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083791601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.