Active NPI
Karen P. Zimmer, MD
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1720016322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD428886
- Practice address
- 833 Chestnut Street
Suite 300
Philadelphia, PA 19107-4405 - Phone
- (215) 955-7800
- Fax
- (215) 923-4267
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D56990 | MD | |
| Pediatrics Physician | 208000000X | MD428886 | PA | Primary |
| General Practice Physician | 208D00000X | MD428886 | PA |
Addresses
Primary practice location
833 Chestnut Street
Suite 300
Philadelphia, PA 19107-4405
Mailing address
PO Box 191
Provider Enrollment
Rockland, DE 19732-0191
Phone (302) 651-6212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 699236600 | Medicaid | MD |
Other names 1
- Karen Rachel Paul
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD428886 | PA | MD | General Practice Physician |
Interoperability endpoints
- kzimmer7562@direct.nemours.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1720016322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PROVIDER ENROLLMENT",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-6212",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET",
"address_2": "SUITE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074405",
"telephone_number": "215-955-7800",
"fax_number": "215-923-4267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "KAREN",
"middle_name": "P.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D56990",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD428886",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD428886",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "699236600",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "PAUL",
"middle_name": "RACHEL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.