MARK ZIMMERMAN


Address: 146 W River St, Suite 11b, Providence, RI 02904-2609
Phone: 4014447442

MARK ZIMMERMAN (NPI# 1508842857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508842857
Entity Type Individual
Full Name MARK ZIMMERMAN
Credential MD
Practice Address 146 W River St
Suite 11b
Providence
RI 02904-2609
Mailing Address 593 Eddy St
Potter 3
Providence
RI 02903-4923
Practice Telephone 4014447442
Practice Fax Number 4014447109
Mailing Telephone 4014444318
Mailing Fax Number 4014446573
Enumeration Date 2005-12-19
Last Update Date 2013-04-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD08762 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 9006816 05

Other Providers MARK ZIMMERMAN

NPI Name Taxonomy Address Enumeration
1710933528 Mark T Zimmerman Chiropractor 2701 Kurt St, Eustis, FL 32726-6515 2006-05-25
1689623746 Mark D Zimmerman Anesthesiology 3745 11th Circle, Suite 107, Vero Beach, FL 32960 2006-05-08
1376514646 Mark Zimmerman Internal Medicine 5967 Sun Appello Ave, Las Vegas, NV 89122-3447 2006-01-27
1578936316 Mark Zimmerman Dental Hygienist 33533 W 12 Mile Rd, Suite 150, Farmington Hills, MI 48331-3354 2015-11-02
1841431152 Mark L Zimmerman Counselor 2610 N Alder St, Tacoma, WA 98407-6221 2009-03-16
1669587564 Mark W Zimmerman Obstetrics & Gynecology 2417 Atrium Dr, Suite 200, Raleigh, NC 27607-6673 2006-08-20
1720020811 Mark David Zimmerman Family Medicine 1625 Oregon Pike, Lancaster, PA 17601 2006-06-12
1124088570 Mark C Zimmerman Anesthesiology 10101 S 27th St, Franklin, WI 53132-7209 2006-03-27
1164408035 Mark Zimmerman Obstetrics & Gynecology 1200 Airport Heights Dr, Suite 350, Anchorage, AK 99508-2943 2005-12-21
1447251509 Mark I. Zimmerman Specialist 1 Springfield Ave, First Floor, Summit, NJ 07901-4055 2005-08-10

Office Location

Street Address 146 W RIVER ST
SUITE 11B
City PROVIDENCE
State RI
Zip Code 02904-2609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184609398 Michael A Friedman Psychiatry & Neurology 146 W River St, Suite 11b, Providence, RI 02904-2609 2005-12-09
1962981357 Erin Colleen Murphy Bernardo Nurse Practitioner 146 W River St, Providence, RI 02904-2609 2018-08-07
1679069652 Leanna Olitsky Social Worker 146 W River St, Providence, RI 02904-2609 2018-07-02
1225497076 Jean Capone Nurse Practitioner 146 W River St, Suite 11a, Providence, RI 02904-2609 2016-02-22
1235594797 Anna Elizabeth Schierberl Scherr Psychologist 146 W River St, Suite 11a, Providence, RI 02904-2609 2015-12-28
1134599343 Mara Reichenberg Social Worker 146 W River St, Providence, RI 02904-2609 2015-09-30
1982099784 Margaret Bublitz Psychologist 146 W River St, Providence, RI 02904-2609 2015-03-30
1104253566 Jared Devin Minkel Psychologist 146 W River St, Providence, RI 02904-2609 2013-10-01
1598107260 Indira Sadhu Physician Assistant 146 W River St, Providence, RI 02904-2609 2013-07-23
1346686102 Audrey Maria Boyle Nurse Practitioner 146 W River St, Suite 11d, Providence, RI 02904-2609 2013-05-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144792383 Lifespan Pharmacy LLC Durable Medical Equipment & Medical Supplies 180 Corliss Street, Suite A, Providence, RI 02904 2018-12-28
1780168229 Beth M. Kalunian Social Worker 480 Charles Street, Providence, RI 02904 2018-09-20
1588161608 Michael P. Johnson, Md, Inc Internal Medicine 148 W River St Ste 22b, Providence, RI 02904 2018-04-06
1780045948 Fred Saccoccio Pharmacist 15 Smithfield Road, No Providence, RI 02904 2016-03-16
1699148999 Latin Adult Day Health Care Center Clinic/Center 665 Charles Street, Providence, RI 02904 2015-11-09
1144639956 Dina P Toolin Occupational Therapist 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 2014-08-06
1801208798 Seth Clark Internal Medicine 200 Corliss St, Providence, RI 02904 2014-05-27
1134554645 Molly Elizabeth Smith Physical Therapist 1405 Douglas Ave, North Providence, RI 02904 2013-09-04
1336408723 Emad Awa Pediatrics 1 Randall Sq Ste 404, Providence, RI 02904 2012-05-07
1598036790 Joseph F. Osmanski, Od, Inc Optometrist 1971 Mineral Spring Avenue, N. Providence, RI 02904 2012-01-19
Find all providers in zip 02904

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881218071 Madison Pomerantz Psychiatry & Neurology 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 2020-06-03
1518526672 Colleen Marie Lynd Psychiatry & Neurology 345 Blackstone Blvd # G, Providence, RI 02906-4800 2019-06-11
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1023557188 Whidbey Island Public Hospital District Psychiatry & Neurology 196 Congress Ave, Providence, RI 02907-1720 2017-02-21
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1497102529 Teresa Daniels Psychiatry & Neurology 618 Hope St # 1, Providence, RI 02906-2659 2016-05-18
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1942662598 Lorangelly Rivera Psychiatry & Neurology 593 Eddy St Bldg Potter1, Providence, RI 02903-4923 2016-03-23
1912396805 East Side Psychiatric Associates, Ltd Psychiatry & Neurology 295 Angell St Ste 5, Providence, RI 02906-2119 2015-01-14
1235557174 Laura Ashley Mayer Psychiatry & Neurology 2 Dudley St Ste 120, Providence, RI 02905-3236 2014-03-28
Find all providers in PROVIDENCE

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City PROVIDENCE
Zip Code 02904

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Dataset Information

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.

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