Organization Active NPI

Erik O Zimmermann DPM PA

Doing business as Erik O Zimmermann

  • Podiatrist
  • Leesburg, FL
National Provider Identifier
1669223616
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ERIK O ZIMMERMANN DPM PA
Doing business as
Erik O Zimmermann
Practice address
1208 W Dixie Ave
Leesburg, FL 34748-6314
Phone
(352) 435-7849
Fax
(352) 435-7904
NPI assigned
Mar 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Lucinda Crewe
Title
Office Manager
Phone
(352) 435-7849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1208 W Dixie Ave
Leesburg, FL 34748-6314

Mailing address

1208 W Dixie Ave
Leesburg, FL 34748-6314
Phone (352) 435-7849

Other names 1

  • Erik O Zimmermann Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240528000885 FL Part B Supplier - Clinic/Group Practice 3072955780 Receives reassigned benefits from 2 practitioners
Practice locations: Leesburg, FL
O20250325001634 FL DME Supplier - Physician - Podiatry 3072955780 Practice locations: Leesburg, FL

National Provider Directory

National Provider Directory

Locations

1208 W Dixie Ave
Leesburg, FL 34748
Phone (352) 435-7849

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1669223616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486314",
            "telephone_number": "352-435-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486314",
            "telephone_number": "352-435-7849",
            "fax_number": "352-435-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK O ZIMMERMANN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "CREWE",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-435-7849"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erik O Zimmermann",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Erik O Zimmermann",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.