Individual provider Active NPI

Ethan Duane Zimmerman, DO

  • Emergency Medicine Physician
  • Weston, FL
National Provider Identifier
1811488158
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS17256 Issued in FL
Practice address
3100 Weston Rd
Weston, FL 33331-3602
Phone
(954) 659-5000
NPI assigned
May 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS17256 FL Primary
Emergency Medicine Physician 207P00000X 2952 NE
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3100 Weston Rd
Weston, FL 33331-3602

Mailing address

2515 W Marina Bay Dr Apt 209
Fort Lauderdale, FL 33312-2326
Phone (215) 896-5182

Other practice location 1

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-6060

Other practice location 2

2801 N State Road 7
Margate, FL 33063-5727
Phone (215) 896-5182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210622003012 FL Practitioner - Emergency Medicine 8426459991 Reassigns benefits to 3 organizations
I20241031003220 NE Practitioner - Emergency Medicine 8426459991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511

3100 Weston Rd
Weston, FL 33331-3602
Phone (954) 659-5000

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580

Hospital & facility affiliations

  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268
  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130

Merit-based Incentive Payment System (MIPS)

Final score
98.91 of 100Reported as apm
Quality
90.53
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17256FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Alegent Creighton Clinic CurrentSince Nov 14, 2024 Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

2771 Solution Ctr
Chicago, IL 60677

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1811488158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 W MARINA BAY DR APT 209",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122326",
            "telephone_number": "215-896-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESTON RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313602",
            "telephone_number": "954-659-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 MERCY RD",
            "address_purpose": "LOCATION",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "country_code": "US",
            "telephone_number": "402-398-6060",
            "fax_number": "402-398-6982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N State Road 7",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330635727",
            "country_code": "US",
            "telephone_number": "215-896-5182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ETHAN DUANE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS17256",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "2952",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.