Patricia Duley Zimburean, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301406951 Issued in MI

Practice address

12014 60TH St NE
Lake Stevens, WA 98258-8735

Phone

(989) 370-2899

NPI assigned

Sep 21, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• CP Snohomish County Wa, LLC

  dba Providence at Home with Compassus Home Health, Snohomish County

  • Community Based Hospice Care Agency
  • Everett, WA
  • NPI 1184446221

  Contracted Managing Employee

  CMS ownership

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

• CP Snohomish County Wa, LLC

  dba Providence at Home with Compassus Home Health, Snohomish County

  • Community Based Hospice Care Agency
  • Everett, WA
  • NPI 1184446221
  Medicare reassignment NPD
• Providence Health & Services - Washington

  dba Prov Hospice & H C of Snohomish Cty

  • Community Based Hospice Care Agency
  • Everett, WA
  • NPI 1083947709
  NPD
• Providence Health & Services - Washington

  dba Providence Hospice & Home Care of Snohomish County

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Everett, WA
  • NPI 1053027102
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1316933732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12014 60TH ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588735",
            "telephone_number": "989-370-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12014 60TH ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588735",
            "telephone_number": "989-370-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBUREAN",
        "first_name": "PATRICIA",
        "middle_name": "DULEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301406951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2904509",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pryndana Wood, CBT, RBT
• Brea Ann Wrzesinski, MA60771416
• Chris Zeh, RPH
• Jacob Donald Zehnder, LMT
• Amber Dawn Zier, LPN
• Alma Zoto

• Internal Medicine Physician in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.