Active NPI
Shelly R. Zimmerman, D.O.
- Emergency Medicine Physician
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3056
- Practice address
- 901 N Porter Ave
Norman, OK 73071-6404 - Phone
- (405) 307-1000
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 3056 | OK | |
| Emergency Medicine Physician | 207P00000X | 3056 | OK | Primary |
Addresses
Primary practice location
901 N Porter Ave
Norman, OK 73071-6404
Mailing address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Other practice location 1
13401 N Western Ave
Oklahoma City, OK 73114-1408
Phone (405) 252-3400
Other practice location 2
201 S Sara Rd
Mustang, OK 73064-4306
Phone (405) 376-4505
Other practice location 3
13500 S Tulsa Dr
Oklahoma City, OK 73170-9719
Phone (405) 815-5600
Other practice location 4
3400 S Douglas Blvd
Oklahoma City, OK 73150-1001
Phone (405) 815-5600
Other practice location 5
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100130700C | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000
5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4700
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Oklahoma City
- Southwestern Medical Center
- Memorial Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3056 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Ies Oklahoma LLC | Emergency Medicine | Current | Accepting new patients |
| Oklahoma Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Norstar Emergency Physicians | Emergency Medical Services | Past | Accepting new patients |
| Southwestern Medical Center, LLC | Past | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Past | Accepting new patients |
Locations
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355
201 S Sara Rd
Mustang, OK 73064
Phone (405) 376-4505
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
13500 S Tulsa Dr
Oklahoma City, OK 73170
Phone (405) 713-2696
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
3400 S Douglas Blvd
Oklahoma City, OK 73150
Phone (405) 815-5000
13401 N Western Ave
Oklahoma City, OK 73114
Phone (405) 252-3400
4401 S Western Ave
Ste 121
Oklahoma City, OK 73109
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Interoperability endpoints
- szimmerman36969@direct-ehr-ssmhc.com
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1437916525
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1114239795
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- Emergency Medical Services (Emergency Medicine) Physician
- Norman, OK
- NPI 1093709537
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1952359986
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1912993189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N PORTER AVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716404",
"telephone_number": "405-307-1000"
}
],
"practiceLocations": [
{
"address_1": "13401 N Western Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731141408",
"country_code": "US",
"telephone_number": "405-252-3400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S Sara Rd",
"address_purpose": "LOCATION",
"city": "Mustang",
"state": "OK",
"postal_code": "730644306",
"country_code": "US",
"telephone_number": "405-376-4505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13500 S Tulsa Dr",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731709719",
"country_code": "US",
"telephone_number": "405-815-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 S Douglas Blvd",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731501001",
"country_code": "US",
"telephone_number": "405-815-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Lee Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731021036",
"country_code": "US",
"telephone_number": "405-272-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "SHELLY",
"middle_name": "R.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OK",
"license": "3056",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "3056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100130700C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.