MS. DONIELLE M. ZIMMERMAN P.A.-C NPI 1336147768

NPI Information

NPI: 1336147768
Provider Name: MS. DONIELLE M. ZIMMERMAN, P.A.-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: MOSES CONE PHYSICIAN SERVICES, INC

PECOS Registration: Yes

Address:
301 E WENDOVER AVE
SUITE 411
GREENSBORO, NC
ZIP 27401
Phone: (336) 832-3200
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MS. Donielle M. Zimmerman, P.A.-C is a surgical physician assistant in Greensboro, NC with 25 years of experience. MS. Donielle M. Zimmerman, P.A.-C NPI is 1336147768. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 E WENDOVER AVE
SUITE 411
GREENSBORO, NC
ZIP 27401-230
Phone: (336) 832-3200
Fax: (336) 832-3201

The NPI 1336147768 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Heart artery bypass to repair one artery (HCPCS:33533)

The enumeration date for this NPI number is 7/11/2005 and was last updated on 12/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA9101135	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	102812	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S95796	MEDICARE UPIN	FLORIDA
2	E3461W	MEDICARE PIN	FLORIDA
3	E3461	OTHER	FLORIDA	BCBS
4	290763100	MEDICAID	FLORIDA
5	E3461U	MEDICARE PIN	FLORIDA
6	E3461V	MEDICARE PIN	FLORIDA
7	E3461R	MEDICARE PIN	FLORIDA
8	E3461S	MEDICARE PIN	FLORIDA
9	E3461T	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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