Organization Active NPI

Dr Zane Wesley Zimmerman LLC

  • Family Medicine Physician
  • Navarre, OH
National Provider Identifier
1326232075
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-008053Z Issued in OH
Legal business name
DR ZANE WESLEY ZIMMERMAN LLC
Practice address
4778 Erie Ave SW
Navarre, OH 44662-9605
Phone
(330) 879-5493
Fax
(330) 879-5935
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Zane Wesley Zimmerman, DO
Title
Physician
Phone
(330) 879-5493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34-008053Z OH Primary

Addresses

Primary practice location

4778 Erie Ave SW
Navarre, OH 44662-9605

Mailing address

4778 Erie Ave SW
Navarre, OH 44662-9605
Phone (330) 879-5493

National Provider Directory

National Provider Directory

Locations

4778 Erie Ave SW
Navarre, OH 44662
Phone (330) 479-5493

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1326232075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4778 ERIE AVE SW",
            "city": "NAVARRE",
            "state": "OH",
            "postal_code": "446629605",
            "telephone_number": "330-879-5493",
            "fax_number": "330-879-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4778 ERIE AVE SW",
            "city": "NAVARRE",
            "state": "OH",
            "postal_code": "446629605",
            "telephone_number": "330-879-5493",
            "fax_number": "330-879-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ZANE WESLEY ZIMMERMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "ZANE",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-879-5493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-008053Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.