Healthcare Provider Details

I. General information

NPI: 1447696638
Provider Name (Legal Business Name): ZACHARY RICHARDS ZIMMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 PROFESSIONAL DR STE 270
GAITHERSBURG MD
20879-3461
US

IV. Provider business mailing address

8115 MAPLE LAWN BLVD STE 200
FULTON MD
20759-2684
US

V. Phone/Fax

Practice location:
  • Phone: 301-926-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number273882
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number0101274054
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberD0106470
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD047418
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMT203830
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD047418
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: