NPIMap

Organization Active NPI

Scott a Zimmerman, D.P.M., LTD.

  • Podiatrist
  • Lombard, IL
National Provider Identifier
1285837096
Registry record updated Dec 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-003422 Issued in IL
Legal business name
SCOTT A ZIMMERMAN, D.P.M., LTD.
Practice address
10 E 22ND St
Suite 205
Lombard, IL 60148-6108
Phone
(630) 953-8088
Fax
(630) 953-8094
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2011

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

Authorized official

Name
Dr. Scott Allen Zimmerman, D.P.M.NPI 1073507331
Title
President
Phone
(630) 953-8088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 016-003422 IL Primary

Addresses

Primary practice location

10 E 22ND St
Suite 205
Lombard, IL 60148-6108

Mailing address

10 E 22ND St
Suite 205
Lombard, IL 60148-6108
Phone (630) 953-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070725000060 IL Part B Supplier - Clinic/Group Practice 3173624848 Receives reassigned benefits from 4 practitioners
Practice locations: Bolingbrook, IL; Chicago, IL; La Grange, IL; Lombard, IL; Naperville, IL; Oak Brook, IL; Oakbrook Terrace, IL; West Chicago, IL…
O20100930016776 IL DME Supplier - Physician - Podiatry 3173624848 Practice locations: Lombard, IL

National Provider Directory

National Provider Directory

Locations

339 9th Ave
Lagrange Hlds, IL 60525
Phone (708) 354-4660

10 E 22nd St
Ste 205
Lombard, IL 60148
Phone (630) 953-8088

1440 W North Ave
Ste 211
Melrose Park, IL 60160
Phone (708) 344-0444

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322956800000",
    "number": "1285837096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST",
            "address_2": "SUITE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486108",
            "telephone_number": "630-953-8088",
            "fax_number": "630-953-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST",
            "address_2": "SUITE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486108",
            "telephone_number": "630-953-8088",
            "fax_number": "630-953-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A ZIMMERMAN, D.P.M., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2011-12-04",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-953-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-003422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.