MARY JO ZIMMER (NPI# 1083646236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083646236 |
| Entity Type | Individual |
| Full Name | MARY JO ZIMMER |
| Credential | MD |
| Practice Address |
3003 W Good Hope Road Milwaukee WI 53209 |
| Practice Telephone | 4143523100 |
| Practice Fax Number | 4142474597 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 26083 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30588600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871042648 | Mary Zimmer | Registered Nurse | 628 N 14th St, Murphysboro, IL 62966-1807 | 2016-09-22 |
| 1790747756 | Mary Zimmer | Pediatrics | 10508 Park Rd, Suite 100, Charlotte, NC 28210-8405 | 2006-04-05 |
| Street Address |
3003 W GOOD HOPE ROAD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861423261 | Huong V Dangvu | Internal Medicine | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-05 |
| 1659306041 | Mark K Chelmowski | Internal Medicine | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-12 |
| 1780616920 | Michelle G Zimmer | Internal Medicine | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-07 |
| 1134151376 | Renee R Coulter | Obstetrics & Gynecology | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-07 |
| 1275565418 | John M Bryant | Internal Medicine | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-07 |
| 1154353308 | Leonard Weistrop | Internal Medicine | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-07 |
| 1972535151 | Robert L Schwartz | Family Medicine | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-07 |
| 1508898784 | Mark J Mitchell | Pediatrics | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-07 |
| 1538191770 | Larry B Dean | Internal Medicine | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-07 |
| 1295767440 | Sylvia M Meltzer | Family Medicine | 3003 W Good Hope Road, Milwaukee, WI 53209 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1013390582 | Devashis Mukherjee | Pediatrics | 8915 W Connell Ct, Milwaukee, WI 53226 | 2015-07-02 |
| 1154715639 | Palak Shah | Pediatrics | 8915 W Connell Court, Milwaukee, WI 53226 | 2015-03-24 |
| 1285028886 | Alexandria Holliday | Pediatrics | 999 N 92nd St Ste C460, Milwaukee, WI 53226 | 2015-03-23 |
| 1033526603 | Vijay S Kumbar | Pediatrics | 3003 W Good Hope Rd Apt S-711, Milwaukee, WI 53209-2042 | 2014-07-16 |
| 1275897019 | Monica B Musete | Pediatrics | 3201 S 16th St Ste 1020, Milwaukee, WI 53215-4532 | 2012-06-26 |
| 1427384486 | Sarah J. Pratt | Pediatrics | 3062 E Newport Ct, Milwaukee, WI 53211-2910 | 2009-10-27 |
| Find all providers in MILWAUKEE | ||||
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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.