MEDICARE: RICHARD HALPIN ZIMLICH 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	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	16856	SC
2	207X00000X	Orthopaedic Surgery Physician	16856	SC

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083644355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD HALPIN ZIMLICH M.D.

Provider Business Mailing Address
First Line	:	2880 TRICOM ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9171
Country	:	US
Telephone Number	:	843-797-5050
Fax Number	:	843-797-3633

Provider Business Practice Location Address
First Line	:	2880 TRICOM ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9171
Country	:	US
Telephone Number	:	843-797-5050
Fax Number	:	843-797-3633

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	03/11/2020

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