DR. JENNIFER ANN ZIMMER (NPI# 1104032614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104032614 |
Entity Type | Individual |
Full Name | DR. JENNIFER ANN ZIMMER |
Credential | M.D. |
Practice Address |
575 West Dr Xe 040 Indianapolis IN 46202-5272 |
Mailing Address |
250 N Shadeland Ave Ste 130 Provider Enrollment Indianapolis IN 46219-4959 |
Practice Telephone | 3179444000 |
Practice Fax Number | 3179443622 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2014-02-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
01060483 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200947250 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760716468 | Jennifer Zimmer | Behavior Technician | 4817 Ehrlich Rd, Tampa, FL 33624-2037 | 2009-09-28 |
1831702976 | Jennifer Lea Zimmer | Nurse Practitioner | 900 College Ave W, Ladysmith, WI 54848-2116 | 2020-08-28 |
1346396744 | Jennifer Zimmer | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2007-01-26 |
1124174107 | Jennifer L Zimmer | Physical Therapist | 10135 State Road C, Mokane, MO 65059-1213 | 2007-01-25 |
1619083029 | Jennifer Knaak Zimmer | Internal Medicine | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2006-08-21 |
Street Address |
575 WEST DR XE 040 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46202-5272 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
Find all providers in zip 46202 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790802064 | Lisa M Mcguire | Psychiatry & Neurology | 8414 Naab Rd Ste 205, Indianapolis, IN 46260-1972 | 2007-03-23 |
1285716407 | Amy Suzon Chappell | Psychiatry & Neurology | 8111 Bayberry Ct, Indianapolis, IN 46250-1629 | 2006-10-19 |
1265708333 | Lauren Bader James | Psychiatry & Neurology | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2012-03-22 |
1881824795 | Kelly Marie Kremer | Psychiatry & Neurology | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2009-07-27 |
1295933349 | Kofi Dela Quist | Psychiatry & Neurology | 8051 S Emerson Ave Ste 350, Indianapolis, IN 46237-8634 | 2007-07-10 |
1053528935 | Keith R Ridel | Psychiatry & Neurology | 7250 Clearvista Dr Ste 225, Indianapolis, IN 46256-5626 | 2007-05-17 |
1265520837 | Lan Shu Chen | Psychiatry & Neurology | 545 Barnhill Dr, Eh 125, Indianapolis, IN 46202-5112 | 2006-10-10 |
1235153636 | Laurence E Walsh | Psychiatry & Neurology | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2006-07-27 |
1467474429 | Karen Carvalho | Psychiatry & Neurology | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2006-07-25 |
1215950282 | Deborah K Sokol | Psychiatry & Neurology | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2006-07-25 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46202 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.