Active NPI
Edward M. Zimm, P.C.
- Ophthalmology Physician
- Erie, PA
National Provider Identifier
1306008545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- OS014072
- Legal business name
- EDWARD M. ZIMM, P.C.
- Practice address
- 300 State St
Suite 200
Erie, PA 16507-1427 - Phone
- (814) 453-4575
- Fax
- (814) 459-3885
- NPI assigned
- Jun 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Matthew Zimm, D.O.
- Title
- President
- Phone
- (814) 453-4575
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OS014072 | PA | Primary |
Addresses
Primary practice location
300 State St
Suite 200
Erie, PA 16507-1427
Mailing address
300 State St
Suite 200
Erie, PA 16507-1427
Phone (814) 453-4575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080818000670 | PA | Part B Supplier - Clinic/Group Practice | 3274608757 |
Receives reassigned benefits from 3 practitioners Practice locations: Erie, PA |
National Provider Directory
National Provider DirectoryLocations
2350 Village Common Dr
Erie, PA 16506
Phone (814) 453-4575
300 State St
Ste 200
Erie, PA 16507
Phone (814) 453-4575
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Erie, PA
- NPI 1508606229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1306008545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STATE ST",
"address_2": "SUITE 200",
"city": "ERIE",
"state": "PA",
"postal_code": "165071427",
"telephone_number": "814-453-4575",
"fax_number": "814-459-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STATE ST",
"address_2": "SUITE 200",
"city": "ERIE",
"state": "PA",
"postal_code": "165071427",
"telephone_number": "814-453-4575",
"fax_number": "814-459-3885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD M. ZIMM, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "ZIMM",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-453-4575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "PA",
"license": "OS014072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.