Provider Demographics
NPI:1750390530
Name:ZIMMERMAN, THOMAS F (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:SUITE G-30
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-234-6390
Mailing Address - Fax:615-234-6393
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:SUITE G-30
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-234-6390
Practice Address - Fax:615-234-6393
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD10305207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN31814941Medicaid
TN4172023OtherBCBS OF TN
TN0004150OtherBLUE CROSS BLUE SHIELD
TN31814941Medicare PIN
TNB03972Medicare UPIN
TN31814941Medicaid