Individual provider Active NPI

Shelly R. Zimmerman, D.O.

  • Emergency Medicine Physician
  • Norman, OK
National Provider Identifier
1912993189
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3056 Issued in OK
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

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100130700CMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000640 OK Practitioner - Emergency Medicine 4486628047 Reassigns benefits to 5 organizations

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
Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians
Ies Oklahoma LLCGroup PAC ID 2769824937, 16 clinicians

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 Hospital, Oklahoma City, OK, CCN 370037
  • Southwestern Medical Center Hospital, Lawton, OK, CCN 370097
  • Memorial Health Hospital, Lawton, OK, CCN 370056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3056OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Ies Oklahoma LLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine CurrentSince Jan 1, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.