MATTHEW ALLEN ZIMMERMAN (NPI# 1336639764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336639764 |
| Entity Type | Individual |
| Full Name | MATTHEW ALLEN ZIMMERMAN |
| Practice Address |
508 N Washington St Elkhorn WI 53121-1131 |
| Practice Telephone | 2629491835 |
| Mailing Telephone | 2629491835 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731146 | Matthew Stuart Zimmerman | Psychologist | 977 Kelsey Dr, Charlottesville, VA 22903-7855 | 2020-05-12 |
| 1851325732 | Matthew Charles Zimmerman | Chiropractor | 21031 Catawba Ave, Cornelius, NC 28031-8824 | 2006-07-10 |
| 1114995149 | Matthew Braden Zimmerman | Pharmacist | 8 Harvestview S Apt H, Mount Joy, PA 17552-2979 | 2006-03-08 |
| 1316356603 | Matthew Adam Zimmerman | Chiropractor | 1 W 30th St, Suite 206, New York, NY 10001-4424 | 2014-08-12 |
| 1952716169 | Matthew Zimmerman | Internal Medicine | 200 Stonecrest Blvd, Smyrna, TN 37167-6810 | 2014-06-25 |
| 1952676140 | Matthew V Zimmerman | Pharmacist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2012-03-20 |
| 1689967069 | Matthew Thomas Zimmerman | Family Medicine | 965 Mattox Dr, Sullivan, MO 63080-2365 | 2011-05-18 |
| 1114188661 | Matthew David Zimmerman | Psychiatry & Neurology | 817 Broadway, 10th Floor, New York, NY 10003-4709 | 2008-06-18 |
| 1467670711 | Matthew P Zimmerman | Pharmacist | 1601 Cherry St, Suite 1700, Philadelphia, PA 19102-1321 | 2007-04-23 |
| 1154474435 | Matthew J. Zimmerman | Internal Medicine | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2007-01-19 |
| Street Address |
508 N WASHINGTON ST |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059800 | Jessica Lynn Hardy | Student in an Organized Health Care Education/Training Program | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2020-09-29 |
| 1396351789 | Danielle Obannon | Student in an Organized Health Care Education/Training Program | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2020-09-21 |
| 1619505963 | Melissa Folstad | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1700414091 | Kaitlin Pellicano | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1548898059 | Rabeea Rafiq Lodhra | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-30 |
| 1750919510 | Lindsey Elizabeth Mckee | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-28 |
| 1053873430 | Cherline Lee Rausch | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-03 |
| 1245792027 | Jazmine Jenae Smith | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-02 |
| 1669931978 | Jeffrey Allen Farvour | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-03-16 |
| 1811492234 | Karlee Joy Lafavor | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2018-03-27 |
| Find all providers in ELKHORN | ||||
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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.