NPIMap

Individual provider Active NPI

Catherine S Zimmerman, D.O.

  • Family Medicine Physician
  • Cheboygan, MI
National Provider Identifier
1891711370
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009396 Issued in MI
Practice address
740 S Main St FL 2
Cheboygan, MI 49721-2220
Phone
(231) 627-7118
Fax
(231) 627-1838
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101009396 MI Primary

Addresses

Primary practice location

740 S Main St FL 2
Cheboygan, MI 49721-2220

Mailing address

748 S Main St
Cheboygan, MI 49721-2220
Phone (231) 627-7118

Other identifiers 3

IdentifierTypeStateIssuer
0151600485OtherMIINDIVIDUAL BLUE CROSS
700A610010OtherMIGROUP BLUE CROSS
2846906MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catherine.zimmerman.p1@direct.alcona.nextgenshare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000721 MI Practitioner - Family Practice 4587793765 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Past Accepting new patients
Community Memorial Hospital Family Medicine Past Accepting new patients
Community Memorial Hospital Past Accepting new patients
Alcona Citizens for Health Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: catherine.zimmerman.p1@direct.alcona.nextgenshare.com

Organizations & group practices 5

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.

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": "1612828800000",
    "number": "1891711370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 S MAIN ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-627-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S MAIN ST FL 2",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-627-7118",
            "fax_number": "231-627-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CATHERINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BLUE CROSS",
            "identifier": "0151600485",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE CROSS",
            "identifier": "700A610010",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846906",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.zimmerman.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "740 S Main St Fl 2",
            "city": "Cheboygan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497212220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

Verify at the official NPI Registry.