DALE D ZIMMERMAN (NPI# 1720169899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720169899 |
| Entity Type | Individual |
| Full Name | DALE D ZIMMERMAN |
| Credential | D.O. |
| Practice Address |
1102 N County Road 700 Warsaw IL 62379-3011 |
| Practice Telephone | 2172564100 |
| Practice Fax Number | 2172563800 |
| Mailing Telephone | 2172564100 |
| Mailing Fax Number | 2172563800 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036150944 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DO101841 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 243451218 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115181 | Dale F Zimmerman | Pediatrics | 9776-1 San Jose Blvd, Jacksonville, FL 32257-5501 | 2005-09-26 |
| 1639371826 | Dale Leon Zimmerman | Physical Therapist | 17272 Newhope St, Suite G, Fountain Valley, CA 92708-4210 | 2007-06-01 |
| Street Address |
1102 N COUNTY ROAD 700 |
| City | WARSAW |
| State | IL |
| Zip Code | 62379-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326082454 | Eliot M Nissenbaum | Internal Medicine | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-06-16 |
| 1013410158 | Katherine Anne Phillips | Nurse Practitioner | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2018-03-15 |
| 1952461782 | Annette Yvonne Oetken | Family Medicine | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-12-11 |
| 1528143971 | Richard Lewis O'halloran | Urology | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-10-26 |
| 1255430104 | Teresa Metzger | Nurse Practitioner | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-09-21 |
| 1720186265 | Blessing Corporate Services | Clinic/Center | 1102 N County Road 700, Warsaw, IL 62379-3011 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295705622 | Community Health Centers of Southeastern Iowa Inc | Family Medicine | 345 Polk St, Warsaw, IL 62379-1033 | 2006-01-26 |
| 1922200484 | Warsaw Comm Unit Schl Dist 316 | Local Education Agency (LEA) | 340 S 11th St, Warsaw, IL 62379-1431 | 2007-06-05 |
| 1407074628 | Darlene Louise Young | Private Vehicle | 583 Old Warsaw Rd, Warsaw, IL 62379-3001 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364176 | Jace Medical LLC | Durable Medical Equipment & Medical Supplies | 3516 Commerce Dr, Warsaw, IN 46580-3925 | 2020-10-23 |
| 1982202040 | Northern Neck Regional Special Education Program | Spec/Tech, Pathology | 6914 Richmond Rd, Warsaw, VA 22572-3547 | 2020-10-12 |
| 1013523588 | Amy Deion Stitt | Nurse Practitioner | 738 E 200 N, Warsaw, IN 46582-4658 | 2020-09-21 |
| 1689280695 | Nicole Leary | Community Health Worker | 20383 State Route 79, Warsaw, OH 43844-9774 | 2020-09-16 |
| 1871104794 | Legacy Family Chiropractic LLC | Chiropractor | 550 W 300 N, Warsaw, IN 46582-6940 | 2020-08-13 |
| 1437776796 | Brandi K Shepherd | Nurse Practitioner | 1315 Fisher Ave, Warsaw, IN 46580-4810 | 2020-07-02 |
| 1659990174 | Nicole Danielle Wallick | Counselor | 2194 N Pointe Dr, Warsaw, IN 46582-9043 | 2020-04-14 |
| 1710514450 | Chad Goon | Specialist/Technologist | 1216 Meadow Ln, Warsaw, IN 46580-4114 | 2020-03-24 |
| 1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
| 1376177212 | Sarah Lynn Stinson | Counselor | 1016 E Center St, Warsaw, IN 46580-3419 | 2020-03-01 |
| Find all providers in WARSAW | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205948486 | Warsaw Health System LLC | Family Medicine | 1210 Provident Dr, Suite B, Warsaw, IN 46580-3266 | 2006-08-31 |
| 1730101759 | Robert Theodore Longshore | Family Medicine | 870 Us Hwy 42 W, Warsaw, KY 41095-9323 | 2006-07-25 |
| 1427083435 | Qutubuddin Karamat Dar | Family Medicine | 31 Duncan St, Suite 1, Warsaw, NY 14569-1017 | 2006-07-11 |
| 1598798407 | Ccmh Corporation | Family Medicine | 202 Franklin Street, Warsaw, KY 41095 | 2006-07-07 |
| 1063448231 | Abayomi S Adediran | Family Medicine | 113 S Pine St, Warsaw, NC 28398-1924 | 2006-06-22 |
| 1972546927 | Erin B Jungbauer | Family Medicine | 1210 Provident Drive, Ste B, Warsaw, IN 46580 | 2006-06-14 |
| 1831151869 | Shawn E Kidder | Family Medicine | 2235 Dubois Drive, Warsaw, IN 46580-3212 | 2006-04-05 |
| 1467428318 | Gary M Pitts | Family Medicine | 2300 Dubois Dr, Warsaw, IN 46580-3213 | 2006-02-28 |
| 1295705622 | Community Health Centers of Southeastern Iowa Inc | Family Medicine | 345 Polk St, Warsaw, IL 62379-1033 | 2006-01-26 |
| 1972591030 | Theodore J Beltz | Family Medicine | 1765 Commercial St, Warsaw, MO 65355-3096 | 2005-10-12 |
| Find all providers in WARSAW | ||||
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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.