RICHARD CARL ZIMMERMAN (NPI# 1215268453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215268453 |
| Entity Type | Individual |
| Full Name | RICHARD CARL ZIMMERMAN |
| Credential | M.D. |
| Practice Address |
1282 E. Green Lake Dr. West Bend WI 53090-9069 |
| Practice Telephone | 2626756074 |
| Mailing Telephone | 2626756074 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
16070-20 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952849218 | Richard Zimmerman | Nurse Practitioner | 604 Almond St Nw, Demotte, IN 46310-9547 | 2017-02-07 |
| 1609029735 | Richard Ivan Zimmerman Jr. | Registered Nurse | 119 School St, Waltham, MA 02451-4596 | 2008-11-03 |
| 1225239163 | Richard D. Zimmerman | Dentist | 17800 Cumberland Rd, Noblesville, IN 46060-5409 | 2007-05-29 |
| 1063019347 | Richard Zimmerman | Physical Therapist | 52 Hazelnut Hill Rd, Groton, CT 06340-3268 | 2020-10-08 |
| 1821312133 | Richard Joseph Zimmerman | Pharmacist | 1620 Century Center Pkwy, Memphis, TN 38134-0181 | 2010-03-16 |
| 1336281310 | Richard Clark Zimmerman | Acupuncturist | 312 Main Street, Talent, OR 97540 | 2007-02-13 |
| 1477640910 | Richard W. Zimmerman | Internal Medicine | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-10-06 |
| 1790891273 | Richard W Zimmerman | Chiropractor | 7 E Main St, Du Quoin, IL 62832-1420 | 2006-08-21 |
| 1356317333 | Richard K Zimmerman | Specialist | 6023 Harvard Sq, Pittsburgh, PA 15206-3015 | 2006-02-28 |
| 1811969736 | Richard R Zimmerman | Optometrist | 4850 S 74th St, Greenfield, WI 53220-4359 | 2006-02-03 |
| Street Address |
1282 E. GREEN LAKE DR. |
| City | WEST BEND |
| State | WI |
| Zip Code | 53090-9069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
| 1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
| 1508110420 | Vicky Ellen Patten | Occupational Therapy Assistant | 2124 Northwestern Avenue, West Bend, WI 53090 | 2012-10-30 |
| 1801142732 | Andrew Russell Bordeaux | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2012-07-30 |
| 1104150549 | Mary Davis | Registered Nurse | 6660 Eastwood Court, West Bend, WI 53090 | 2009-10-01 |
| 1457492282 | Barton Dental Clinic Sc | Dentist | 1542 Barton Ave, West Bend, WI 53090 | 2007-02-12 |
| 1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
| 1184760894 | Christopher Allan Buck | Dentist | 1713 N Main Street, West Bend, WI 53090 | 2007-01-29 |
| 1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
| 1831298215 | Sara E Rehring | Social Worker | 400 W River Drive, West Bend, WI 53090 | 2006-09-21 |
| Find all providers in zip 53090 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of 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 |
|---|---|---|---|---|
| 1104384387 | Center for Emotional Wellness LLC. | Psychiatry & Neurology | W156n8327 Pilgrim Rd Ste 301, Menomonee Fls, WI 53051-3776 | 2019-03-06 |
| 1295000255 | Ilsa Bick | Psychiatry & Neurology | 1099 Highland Dr, Kohler, WI 53044-1306 | 2012-03-09 |
| 1184800880 | William M Buzogany | Psychiatry & Neurology | W350 S1401 Waterville Road, Lad Lake Inc, Dousman, WI 53118 | 2008-01-14 |
| 1033300199 | Monika Drummond Roots | Psychiatry & Neurology | 3140 Oxford Rd, Madison, WI 53705-2224 | 2007-08-05 |
| 1598974321 | Marta Cristina Muller | Psychiatry & Neurology | 1941 N Battle Creek Rd, Oconomowoc, WI 53066-9468 | 2007-05-21 |
| 1164517082 | Moitreyee Bandyopadhyay Reddy | Psychiatry & Neurology | 9000 W.wisconsin Avenue, Milwaukee, WI 53201-1997 | 2006-10-04 |
| 1639182868 | Thomas E. Wright | Psychiatry & Neurology | 120 East Main Street, Cambridge, WI 53523-0548 | 2006-08-15 |
| 1447262183 | Neil P Fullan | Psychiatry & Neurology | 2475 University Ave Ste A, Green Bay, WI 54302-5099 | 2006-08-12 |
| 1396761276 | Robert Perzacki | Psychiatry & Neurology | 1820 Appleton Rd, Menasha, WI 54952-1110 | 2006-07-14 |
| 1730134412 | Tracey Cornella-carlson | Psychiatry & Neurology | 721 American Ave Ste 501, Waukesha, WI 53188-5071 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
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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.