Basic Information
| Provider Information | |||||||||
| NPI: | 1265438634 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZIMMER | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | V | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 105 BRANDT DR. | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | CRANBERRY TWP. | ||||||||
| State: | PA | ||||||||
| PostalCode: | 160666412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247725420 | ||||||||
| FaxNumber: | 7247725423 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 BRANDT DR. | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | CRANBERRY TWP. | ||||||||
| State: | PA | ||||||||
| PostalCode: | 160666412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247725420 | ||||||||
| FaxNumber: | 7247725423 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2005 | ||||||||
| LastUpdateDate: | 08/04/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | MD050044L | PA | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | 0000740507 | 01 | PA | AMERIHEALTH ADMINISTRATOR | OTHER | 000000092591 | 01 | PA | UNISON HEALTH PLAN | OTHER | 103105 | 01 | PA | UPMC HEALTH PLAN | OTHER | 0015779570007 | 05 | PA | MEDICAID | 28628 | 01 | PA | ADVANTRA/ HEALTH AMERICA | OTHER | ZI740507 | 01 | PA | UMWA | OTHER | 740507 | 01 | PA | HIGHMARK BCBS | OTHER | 1513104 | 01 | PA | GATEWAY HEALTH PLAN | OTHER | 180017416 | 01 | PA | RAILROAD MEDICARE | OTHER | 450883 | 01 | PA | AETNA | OTHER |