DR. JACK E ZIMMERMAN (NPI# 1699027151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699027151 |
| Entity Type | Individual |
| Full Name | DR. JACK E ZIMMERMAN |
| Credential | M.D. |
| Practice Address |
17612 Coatbridge Pl Olney MD 20832-2318 |
| Practice Telephone | 3017740453 |
| Mailing Telephone | 3017740453 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD25685 | DC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346308210 | Jack Lawerence Zimmerman | Psychologist | 16244 S Military Trail, Suite 760, Delray Beach, FL 33484 | 2006-12-04 |
| Street Address |
17612 COATBRIDGE PL |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215293915 | Shalin Patel | Internal Medicine | 18101 Prince Philip Dr, Olney, MD 20832 | 2012-04-06 |
| 1902035918 | Manu Deep Kaushal | Internal Medicine | 18109 Prince Philip Dr, Suite B-100, Olney, MD 20832-1519 | 2009-07-11 |
| 1255598363 | Vineesha Arelli | Internal Medicine | 18101 Prince Philip Dr, Olney, MD 20832-1514 | 2008-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831694066 | Rajesh M Shah M D | Internal Medicine | 8353 Governor Run, Ellicott City, MD 21043-3448 | 2018-03-29 |
| 1376994129 | Integra Clinical Services, LLC | Internal Medicine | 9055 Tamar Dr, Columbia, MD 21045-2756 | 2016-06-23 |
| 1871949917 | Penelope Scott, Md | Internal Medicine | 11824 Falls Rd, Cockeysville, MD 21030-1605 | 2016-05-08 |
| 1598121337 | Dennis Frank | Internal Medicine | 6 Southgate Ave, Annapolis, MD 21401-2710 | 2016-01-09 |
| 1861812182 | Samuel Raouf | Internal Medicine | 5051 Greenspring Ave Ste 302, Baltimore, MD 21209-4358 | 2014-04-25 |
| 1265852263 | James Shelhamer | Internal Medicine | Room 2c145 Bldg 10, Nih, Bethesda, MD 20892-0001 | 2014-04-17 |
| 1922341338 | Aparna Balasubramanian | Internal Medicine | 1830 E Monument St Fl 5, Department of Pulmonary and Critical Care Medicine, Baltimore, MD 21287-0020 | 2013-04-03 |
| 1245578426 | Mary Joy Drass | Internal Medicine | 5565 Sterrett Pl Fl 5, Columbia, MD 21044-2665 | 2013-01-23 |
| 1053675074 | William Brian Karkowsky | Internal Medicine | 6503 Sanzo Rd Apt F, Baltimore, MD 21209-2412 | 2012-06-25 |
| 1598031429 | Janhavi Athale | Internal Medicine | 600 N Wolfe Street Baltimore, Baltimore, MD 21287-0001 | 2012-03-26 |
| 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.