Healthcare Provider Details

I. General information

NPI: 1205856010
Provider Name (Legal Business Name): HAND, MICROSURGERY AND RECONSTRUCTIVE ORTHOPAEDICS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STATE ST SUITE 205
ERIE PA
16507-1427
US

IV. Provider business mailing address

300 STATE ST STE 205
ERIE PA
16507-1429
US

V. Phone/Fax

Practice location:
  • Phone: 814-456-6022
  • Fax: 814-456-7040
Mailing address:
  • Phone: 814-456-6022
  • Fax: 814-456-7040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ZIMMER
Title or Position: OFFICE MANAGER
Credential:
Phone: 814-456-6022