Provider Demographics
NPI:1972504025
Name:ZIMMERMAN, ROBERT F III (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:ZIMMERMAN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-7930
Mailing Address - Country:US
Mailing Address - Phone:207-420-5358
Mailing Address - Fax:
Practice Address - Street 1:111 FRANKLIN HEALTH CMNS
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-6144
Practice Address - Country:US
Practice Address - Phone:207-779-2456
Practice Address - Fax:207-779-2496
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD15106207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME305300099Medicare ID - Type Unspecified
MEMM7915Medicare ID - Type Unspecified
MEG27067Medicare UPIN
ME000383402Medicare PIN