Active NPI
David E Zimmerman, M.D.
- Hospitalist Physician
- Kapa'a, HI
National Provider Identifier
1902007420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD-5644
- Practice address
- 4800 Kawaihau Rd
Kapaa, HI 96746-1930 - Phone
- (808) 822-4961
- Fax
- (808) 823-4100
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD-5644 | HI | Primary |
Addresses
Primary practice location
4800 Kawaihau Rd
Kapaa, HI 96746-1930
Mailing address
4800 Kawaihau Rd
Kapaa, HI 96746-1930
Phone (808) 822-4961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HMSA | Other | HI | B02538-3 |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-5644 | HI | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902007420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 KAWAIHAU RD",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461930",
"telephone_number": "808-822-4961",
"fax_number": "808-823-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 KAWAIHAU RD",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461930",
"telephone_number": "808-822-4961",
"fax_number": "808-823-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "DAVID",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "HI",
"license": "MD-5644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B02538-3",
"identifier": "HMSA",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kapa'a, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.