Individual provider Active NPI

Adam Terry Zierenberg, MD

  • Physical Medicine & Rehabilitation Physician
  • Walla Walla, WA
National Provider Identifier
1821202573
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD60082337 Issued in WA
Practice address
380 Chase Ave
Walla Walla, WA 99362-2924
Phone
(509) 522-5820
Fax
(509) 522-5570
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2008002494 MO
Physical Medicine & Rehabilitation Physician 208100000X MD60082337 WA Primary

Addresses

Primary practice location

380 Chase Ave
Walla Walla, WA 99362-2924

Mailing address

PO Box 1477
Walla Walla, WA 99362-0312
Phone (509) 522-5906

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address azierenberg186165@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000544 WA Practitioner - Physical Medicine and Rehabilitation 2668546565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

380 Chase Ave
Walla Walla, WA 99362-2924
Phone (509) 897-3333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008002494MOMDPhysical Medicine & Rehabilitation Physician
MD60082337WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince Aug 15, 2009 Accepting new patients
Providence Health & Services - Washington CurrentSince Aug 15, 2009 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

301 W Poplar St
Ste 210
Walla Walla, WA 99362
Phone (509) 522-5825

Interoperability endpoints

  • Direct secure messaging: azierenberg186165@wm.providencedirect.org

Organizations & group practices 3

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1821202573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1477",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620312",
            "telephone_number": "509-522-5906",
            "fax_number": "509-522-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CHASE AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622924",
            "telephone_number": "509-522-5820",
            "fax_number": "509-522-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIERENBERG",
        "first_name": "ADAM",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2008002494",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD60082337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azierenberg186165@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "301 W Poplar St",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993622858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.