Active NPI
Michelle R Zimmerman, MD
- Family Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35085900
- Practice address
- 1930 Crown Park CT
Columbus, OH 43235-2402 - Phone
- (614) 457-1793
- Fax
- (614) 457-0704
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35085900 | OH | Primary |
Addresses
Primary practice location
1930 Crown Park CT
Columbus, OH 43235-2402
Mailing address
1930 Crown Park CT
Columbus, OH 43235-2402
Phone (614) 457-1793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2653123 | Medicaid | OH |
Other names 1
- Michelle Rae Zimmerman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Family Practice
- Education
- Ohio State University College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 Horizons Dr
Suite 100
Columbus, OH 43220-5280
Phone (614) 457-1793
4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665
4885 Olentangy River Rd
Columbus, OH 43214-1953
4885 Olentangy River Rd
Columbus, OH 43214-1993
4895 Olentangy River Rd
Columbus, OH 43214-1185
625 Africa Rd
Westerville, OH 43082-0002
8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Central Ohio Primary Care Physicians Inc | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
4100 Horizons Dr
Ste 100
Columbus, OH 43220
Phone (614) 457-1793
1930 Crown Park Ct
Columbus, OH 43235
Phone (614) 326-0146
4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665
570 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 459-0216
Interoperability endpoints
- mzimmerman18754@copcp.medicity.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
Family Medicine
-
- Hospitalist Physician
- Westerville, OH
- NPI 1518398866
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1982645909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 CROWN PARK CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352402",
"telephone_number": "614-457-1793",
"fax_number": "614-457-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 CROWN PARK CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352402",
"telephone_number": "614-457-1793",
"fax_number": "614-457-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "MICHELLE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35085900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2653123",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "ZIMMERMAN",
"middle_name": "RAE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.