Active NPI
Zachary Zimko, D.O.
- Psychiatry Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS15199
- Practice address
- 10225 Ulmerton Rd Ste 3a
Largo, FL 33771-3519 - Phone
- (727) 371-0079
- Fax
- (727) 371-0079
- NPI assigned
- Jun 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS15199 | FL | Primary |
Addresses
Primary practice location
10225 Ulmerton Rd Ste 3a
Largo, FL 33771-3519
Mailing address
10225 Ulmerton Rd Ste 3a
Largo, FL 33771-3519
Phone (727) 371-0079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105706600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4500 140TH Ave N
Suite 101
Clearwater, FL 33762-3848
Phone (727) 371-0079
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bywater Mental Health PLLC | Psychiatry | Current | Accepting new patients |
| Florida Behavioral Institute PLC | Psychiatry | Current | Accepting new patients |
| Ibis Healthcare Inc | Current | Accepting new patients | |
| Ibis Healthcare Inc | Current | Accepting new patients | |
| Aim Pinellas | Current | Accepting new patients |
Locations
4500 140th Ave N
Ste 101
Clearwater, FL 33762
Phone (727) 371-0079
10225 Ulmerton Rd
Ste 3A
Largo, FL 33771
Phone (727) 371-0079
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
1100 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-6444
5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244
2212 E Henry Ave
Tampa, FL 33610
Phone (813) 272-2882
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Largo, FL
- NPI 1912576695
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Largo, FL
- NPI 1770594665
Psychiatry
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1346224011
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1790309821
-
- Federally Qualified Health Center (FQHC)
- Tampa, FL
- NPI 1922777218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1437508561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10225 ULMERTON RD STE 3A",
"city": "LARGO",
"state": "FL",
"postal_code": "337713519",
"telephone_number": "727-371-0079",
"fax_number": "727-371-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10225 ULMERTON RD STE 3A",
"city": "LARGO",
"state": "FL",
"postal_code": "337713519",
"telephone_number": "727-371-0079",
"fax_number": "727-371-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMKO",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS15199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105706600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.