Scott A Zollman

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05416 Issued in IA

Practice address

200 5TH Ave NW
Le Mars, IA 51031-3116

Phone

(712) 546-8151

Fax

(712) 546-7653

NPI assigned

Sep 13, 2005

Sex

Male

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Zollman Chiropractic Clinic PC

  • Chiropractor
  • Le Mars, IA
  • NPI 1437370350
  Authorized official Same address or phone
• Simonsen Chiropractic, PC

  • Chiropractor
  • Le Mars, IA
  • NPI 1205285111
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1336134659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 5TH AVE NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313116",
            "telephone_number": "712-546-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH AVE NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313116",
            "telephone_number": "712-546-8151",
            "fax_number": "712-546-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLMAN",
        "first_name": "SCOTT",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "07411",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR CLINIC",
            "identifier": "1437370350",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE NUMBER",
            "identifier": "16D0929683",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159376",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Michelle Witzke, RN
• Cynthia K. Wolff, M.D.
• Shania Wunschel
• Bridget Zittritsch, PHARMD
• Zollman Chiropractic Clinic PC

• Chiropractor in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.