MEDICARE: DR. DANIEL V ZIMMER 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	207W00000X	Ophthalmology Physician	MD050044L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	180017416	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000740507	OTHER	PA	AMERIHEALTH ADMINISTRATOR
2	000000092591	OTHER	PA	UNISON HEALTH PLAN
3	103105	OTHER	PA	UPMC HEALTH PLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	28628	OTHER	PA	ADVANTRA/ HEALTH AMERICA
6	ZI740507	OTHER	PA	UMWA
7	740507	OTHER	PA	HIGHMARK BCBS
8	1513104	OTHER	PA	GATEWAY HEALTH PLAN
10	450883	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1265438634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL V ZIMMER M.D.

Provider Business Mailing Address
First Line	:	105 BRANDT DR.
Second Line	:	SUITE 201
City	:	CRANBERRY TWP.
State	:	PA
Zip	:	16066-6412
Country	:	US
Telephone Number	:	724-772-5420
Fax Number	:	724-772-5423

Provider Business Practice Location Address
First Line	:	105 BRANDT DR.
Second Line	:	SUITE 201
City	:	CRANBERRY TWP.
State	:	PA
Zip	:	16066-6412
Country	:	US
Telephone Number	:	724-772-5420
Fax Number	:	724-772-5423

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/04/2011

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