Stephen H Zimmerman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

120 Issued in AR

Practice address

401 Graham St
West Memphis, AR 72301-3117

Phone

(870) 735-6500

Fax

(870) 735-4442

NPI assigned

Jan 27, 2006

Last updated

Jan 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• East Arkansas Foot Specialists

  • Podiatrist
  • West Memphis, AR
  • NPI 1063757490
  Authorized official Same address or phone
• Poplar Podiatry PC

  • Podiatrist
  • Memphis, TN
  • NPI 1386615797
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1801867122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GRAHAM ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013117",
            "telephone_number": "870-735-6500",
            "fax_number": "870-735-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GRAHAM ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013117",
            "telephone_number": "870-735-6500",
            "fax_number": "870-735-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "120",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "365",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118596717",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "480027256",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "480010758",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiara D Yancey, LPC
• Crystal York, MHPP
• Kristal Danielle Young, M.S., CCC-SLP, BCBA
• Blazej Zbytek, M.D., PH.D.
• Zenith Behavioral Health and Wellness PLLC

• Podiatrist in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Podiatrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.