DR. TRAVIS JASON ZIMBELMAN (NPI# 1013179621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013179621 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS JASON ZIMBELMAN |
| Credential | D.P.M. |
| Practice Address |
461 Cotton Gin Rd Montgomery AL 36117-3558 |
| Mailing Address |
660 Mcqueen Smith Rd N Suite - F Prattville AL 36066-7554 |
| Practice Telephone | 3345570900 |
| Mailing Telephone | 3343588666 |
| Mailing Fax Number | 3343588667 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP0504X |
Podiatrist Specialization: Public Medicine |
295 | AL | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
295 | AL | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
295 | AL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
295 | AL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
295 | AL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
295 | AL | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 107 E Watts St, Enterprise, AL 363302511 | 3344894203 | |
| 660 Mcqueen Smith Rd N, Suite - F, Prattville, AL 360667554 | 3343588666 | 3343588667 |
| Street Address |
461 COTTON GIN RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205003878 | Norman Woodlief Md PC | Ophthalmology | 461 Cotton Gin Rd, Montgomery, AL 36117-3558 | 2008-05-13 |
| 1770018491 | Southeastern Family Foot Care, LLC | Podiatrist | 461 Cotton Gin Rd, Montgomery, AL 36117-3558 | 2017-05-01 |
| 1033457106 | Southeastern Family Foot Care, LLC | Podiatrist | 461 Cotton Gin Rd, Montgomery, AL 36117 | 2013-01-24 |
| 1710148028 | Brian W. Mahalak | Optometrist | 461 Cotton Gin Rd, Montgomery, AL 36117-3558 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467647446 | Advanced Foot Care PC | Podiatrist | 348 Saint Lukes Dr, Montgomery, AL 36117-7108 | 2007-09-12 |
| 1275686305 | Hadryan H Vaughn | Podiatrist | 4709 Woodmere Blvd, Montgomery, AL 36106-3078 | 2007-01-20 |
| 1962572198 | Debra D. Morgan | Podiatrist | 1714 W 3rd St, Montgomery, AL 36106-1506 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699560 | Dr. Barry J. Gould, Podiatry Consultants, LLC- | Podiatrist | 641 Kings Mountain Rd, Tuscaloosa, AL 35406-2824 | 2016-10-12 |
| 1003253188 | Southeast Podiatry PC | Podiatrist | 1318 S Main St, Atmore, AL 36502-2834 | 2013-05-29 |
| 1023455102 | Southeast Podiatry PC | Podiatrist | 610 Douglas Ave, Brewton, AL 36426-1812 | 2013-05-29 |
| 1497819536 | Douglas D Stewart | Podiatrist | 1649 Highway 22 West, Suite One, Alexander City, AL 35010-4412 | 2006-12-21 |
| 1063576494 | Anz Gould Investments, Inc. | Podiatrist | 2818 Lurleen B Wallace Blvd, Northport, AL 35476-3249 | 2006-12-20 |
| 1467536763 | Southeast Podiatry PC | Podiatrist | 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 | 2006-10-24 |
| 1841203957 | Brett S Stark | Podiatrist | 890 N Dean Rd Ste 400, Auburn, AL 36830-9440 | 2006-08-14 |
| 1518993310 | Lashonda Moore | Podiatrist | 220 Fort Dale Rd, Greenville, AL 36037-1502 | 2006-06-23 |
| 1275581704 | J D Smith | Podiatrist | 202 Rosa Ln, Florence, AL 35630-1769 | 2006-05-05 |
| 1427020171 | Natalie Josephine Giammanco | Podiatrist | 1985 Al Highway 157, Suite A, Cullman, AL 35058-0692 | 2006-02-06 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on DR. TRAVIS JASON ZIMBELMAN.
| 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.