Active NPI
Tammy J Zemke, PA
- Physician Assistant
- Prince Frederick, MD
National Provider Identifier
1720338379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0004808
- Practice address
- 497 Main St
Prince Frederick, MD 20678-3189 - Phone
- (410) 414-9840
- Fax
- (410) 414-9841
- NPI assigned
- Sep 11, 2012
- Last updated
- Jan 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0004808 | MD | Primary |
Addresses
Primary practice location
497 Main St
Prince Frederick, MD 20678-3189
Mailing address
497 Main St Ste 200
Prince Frederick, MD 20678-3190
Phone (410) 414-9840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
497 Main St
Suite 200
Prince Frederick, MD 20678-3190
Phone (410) 414-9840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0004808 | MD | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Prince Frederick, MD
- NPI 1447278130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1720338379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 MAIN ST STE 200",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783190",
"telephone_number": "410-414-9840",
"fax_number": "410-414-9841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 MAIN ST",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783189",
"telephone_number": "410-414-9840",
"fax_number": "410-414-9841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEMKE",
"first_name": "TAMMY",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0004808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.