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NPI Code Detail

MEDICARE: JAMES ZIMMERMAN PA

MEDICARE: JAMES ZIMMERMAN PA
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
1363A00000XPhysician Assistant50.000780RXOH

General Provider Information

NPI Number : 1700950300
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ZIMMERMAN PA
Provider Business Mailing Address
First Line : 1430 OAK CT STE 100
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45430-1064
Country : US
Telephone Number : 937-404-1101
Fax Number : 937-404-1210
Provider Business Practice Location Address
First Line : 2950 ROBERTSON AVE STE 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1267
Country : US
Telephone Number : 513-281-4400
Fax Number : 513-281-4832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 04/23/2026

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