DR. MARK W CIMMERER MD NPI 1811070949

NPI Information

NPI: 1811070949
Provider Name: DR. MARK W CIMMERER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 363-7339
Get Directions

DR. Mark W Cimmerer, MD is a diagnostic radiology radiology in Grand Rapids, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Mark W Cimmerer, MD NPI is 1811070949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3264 N EVERGREEN DR NE
GRAND RAPIDS, MI
ZIP 49525-746
Phone: (616) 363-7339
Fax: (616) 361-5828

The enumeration date for this NPI number is 10/23/2006 and was last updated on 5/8/2009.

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	2085R0202X	Radiology	Diagnostic Radiology	4301406940	MICHIGAN	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	2824810	MEDICAID	MICHIGAN
2	300023174	OTHER	MICHIGAN	RAILROAD MEDICARE
3	0C36003012	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
4	2829389	MEDICAID	MICHIGAN
5	0C37603014	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
6	300023192	OTHER	MICHIGAN	RAILROAD MEDICARE
7	200000001748	OTHER	MICHIGAN	PHP OF MIDMICHIGAN
8	F26381	MEDICARE UPIN	MICHIGAN
9	2832974	MEDICAID	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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