Active NPI
Ronald Andrew Rimmer, M.D.
- Family Medicine Physician
- Manitowoc, WI
National Provider Identifier
1568414910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 07070683A
- Practice address
- 4303 Michigan Ave
Manitowoc, WI 54220-3066 - Phone
- (920) 320-2436
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00024621 | AL | |
| Family Medicine Physician | 207Q00000X | 07070683A | IN | Primary |
Addresses
Primary practice location
4303 Michigan Ave
Manitowoc, WI 54220-3066
Mailing address
PO Box 2290
Manitowoc, WI 54221-2290
Phone (920) 320-4070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201055980 | Medicaid | IN | |
| 009982710 | Medicaid | AL | |
| 09137 | Other | AL | BCBS |
Other names 1
- Andy Rimmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00024621 | AL | MD | Specialist |
| 07070683A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert Manitowoc Medical Group, LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Holy Family Memorial Inc | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951
4303 Michigan Ave
Manitowoc, WI 54220
Phone (920) 320-4300
1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011
Interoperability endpoints
- rrimmer544118@direct.froedtert.com
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.
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- General Acute Care Hospital
- Manitowoc, WI
- NPI 1700998697
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1568414910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2290",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542212290",
"telephone_number": "920-320-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 MICHIGAN AVE",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542203066",
"telephone_number": "920-320-2436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIMMER",
"first_name": "RONALD",
"middle_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "00024621",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "07070683A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201055980",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009982710",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09137",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDY",
"last_name": "RIMMER",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.