Active NPI
Stephen J Zimdahl, DPM
- Podiatrist
- Bridgeville, PA
National Provider Identifier
1730105164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001780L
- Practice address
- 510 Station St
Bridgeville, PA 15017-2052 - Phone
- (412) 221-2241
- Fax
- (412) 221-2243
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001780L | PA | Primary |
Addresses
Primary practice location
510 Station St
Bridgeville, PA 15017-2052
Mailing address
510 Station St
Bridgeville, PA 15017-2052
Phone (412) 221-2241
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC001780L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeville Podiatry | Podiatrist | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Podiatrist
- Bridgeville, PA
- NPI 1467478891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1730105164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 STATION ST",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150172052",
"telephone_number": "412-221-2241",
"fax_number": "412-221-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 STATION ST",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150172052",
"telephone_number": "412-221-2241",
"fax_number": "412-221-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMDAHL",
"first_name": "STEPHEN",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001780L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.