Active NPI
Deborah Martin Zimmerman, PA
- Emergency Medicine Physician
- Breckenridge, CO
National Provider Identifier
1760456735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1075
- Practice address
- 555 Park Plaza II
Breckenridge, CO 80424 - Phone
- (970) 453-5000
- NPI assigned
- Feb 15, 2006
- Last updated
- Dec 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1075 | CO | |
| Emergency Medicine Physician | 207P00000X | 1075 | CO | Primary |
Addresses
Primary practice location
555 Park Plaza II
Breckenridge, CO 80424
Mailing address
4112 Outlook Blvd
Suite 37
Pueblo, CO 81008-1667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99231786 | Medicaid | CO |
Other names 1
- Deborah Martin Miliner
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry Creek Family Practice PLLC | Past | Accepting new patients | |
| Apex Emergency Group, Inc | Emergency Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1740231356
-
- Specialist
- Denver, CO
- NPI 1588758650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1760456735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 OUTLOOK BLVD",
"address_2": "SUITE 37",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 PARK PLAZA II",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "80424",
"telephone_number": "970-453-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "DEBORAH",
"middle_name": "MARTIN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "1075",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "1075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99231786",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "MILINER",
"middle_name": "MARTIN",
"credential": "MHS, PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Breckenridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.