Provider Demographics
NPI:1750362927
Name:ZIMMERMAN, GEORGE WILLIAM (DO)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:WILLIAM
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1430
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-1430
Mailing Address - Country:US
Mailing Address - Phone:540-689-5500
Mailing Address - Fax:757-431-7116
Practice Address - Street 1:2509 PLEASANT RUN DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8720
Practice Address - Country:US
Practice Address - Phone:540-689-5500
Practice Address - Fax:757-431-7116
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA048956207X00000X
VA0102205078207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1750362927Medicaid
GA000871659Medicaid
AL009939877Medicaid
GA20NCCRTOtherMEDICARE PTAN
GA20BBFSHMedicare ID - Type Unspecified
GAGRP4161Medicare ID - Type UnspecifiedGROUP MEDICARE
GA00871659FMedicaid
GA887300OtherSTATE MERIT
AL009939877Medicaid
AL060031593OtherBLUE CROSS
GACJ5373Medicare ID - Type UnspecifiedGROUP RAILROAD MEDICARE
AL529909670Medicaid
GA001752971011OtherUNITED HEALTHCARE
GA000871659GMedicaid
AL60045565OtherBCBS
AL009929045Medicaid
GA5779597OtherCIGNA
GAF15568Medicare UPIN
GA582646818ZIMOtherEVERGREEN
GA200020225Medicare ID - Type UnspecifiedRAILROAD MEDICARE