Organization Active NPI

Suzan E Zimmer, D.O., PA

  • Family Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1972928984
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUZAN E ZIMMER, D.O., PA
Practice address
2100 Nebraska Ave
Suite 111
Fort Pierce, FL 34950-4704
Phone
(772) 519-1765
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Dr. Suzan E Zimmer, DO
Title
Physician/Owner
Phone
(772) 519-1765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X FL Primary

Addresses

Primary practice location

2100 Nebraska Ave
Suite 111
Fort Pierce, FL 34950-4704

Mailing address

2100 Nebraska Ave
Suite 111
Fort Pierce, FL 34950-4704
Phone (772) 519-1765

National Provider Directory

National Provider Directory

Locations

2100 Nebraska Ave
Ste 111
Fort Pierce, FL 34950
Phone (772) 242-1125

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBBGCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1972928984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE",
            "address_2": "SUITE 111",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504704",
            "telephone_number": "772-519-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE",
            "address_2": "SUITE 111",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504704",
            "telephone_number": "772-519-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZAN E ZIMMER, D.O., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "772-519-1765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.