MEDICARE: INGRID ZIMMER-GALLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	D45891	MD
2	207W00000X	Ophthalmology Physician	D45891	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285662080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INGRID ZIMMER-GALLER M.D.

Provider Business Mailing Address
First Line	:	1502 S MAIN ST STE 305
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5374
Country	:	US
Telephone Number	:	301-703-8856
Fax Number	:	301-703-8857

Provider Business Practice Location Address
First Line	:	1502 S MAIN ST STE 305
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5374
Country	:	US
Telephone Number	:	301-703-8856
Fax Number	:	301-703-8857

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	04/06/2026

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Directions to “ INGRID ZIMMER-GALLER M.D.” Practice Location

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