Individual provider Active NPI

Thomas Alphonse Zieman Jr., NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1629667134
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-124532 Issued in AL
Practice address
1855 Spring Hill Ave
Mobile, AL 36607-2301
Phone
(251) 471-3544
Fax
(251) 476-7456
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-124532 AL Primary

Addresses

Primary practice location

1855 Spring Hill Ave
Mobile, AL 36607-2301

Mailing address

1855 Spring Hill Ave
Mobile, AL 36607-2301
Phone (251) 471-3544

Other names 1

  • Thomas Alphonse Hays Zieman Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218001772 AL Practitioner - Nurse Practitioner 5395150676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Cardio-Thoracic and Vascular Surgical Associates LLCGroup PAC ID 4981936796, 23 clinicians

Practice addresses (Care Compare)

1855 Spring Hill Ave
Mobile, AL 36607-2301
Phone (251) 471-3544

Hospital & facility affiliations

  • Amedisys Home Health of Foley Home health agency, Foley, AL, CCN 017069
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Promoting interoperability
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Cardio-Thoracic and Vascular Surgical Associates LLC CurrentSince Nov 12, 2020 Accepting new patients
Cardio-Thoracic & Vascular Surgical Associates, P.C. CurrentSince Nov 12, 2020 Accepting new patients

Locations

1770 N Alston St
Foley, AL 36535
Phone (251) 471-3544

1855 Spring Hill Ave
Mobile, AL 36607
Phone (251) 471-3544

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1629667134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072301",
            "telephone_number": "251-471-3544",
            "fax_number": "251-476-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072301",
            "telephone_number": "251-471-3544",
            "fax_number": "251-476-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMAN",
        "first_name": "THOMAS",
        "middle_name": "ALPHONSE",
        "name_suffix": "Jr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-124532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "HAYS ZIEMAN",
            "middle_name": "ALPHONSE",
            "suffix": "JR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.