MR. HENRY LEO ZIMMER IV MD
NPI 1104670702
Student in an Organized Health Care Education/Training Program in Rochester, NY
About Mr. Henry Leo Zimmer Iv Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. HENRY LEO ZIMMER IV MD (NPI 1104670702) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Henry Leo Zimmer Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Henry Zimmer's NPI number?
The NPI number for Henry Zimmer is 1104670702. It was assigned to this individual provider in the NPPES registry on April 11, 2024.
Where is Henry Zimmer located?
Henry Zimmer practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 756-4800.
What is Henry Zimmer's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Henry Zimmer enrolled in Medicare?
Yes. Henry Zimmer is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Henry Zimmer was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Henry Leo Zimmer IV, MD · NPI 1104670702
Student in an Organized Health Care Education/Training Program provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since April 11, 2024.
## Identity
- **NPI:** 1104670702 (Entity type: Individual)
- **Enumerated:** April 11, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-0001
- **Phone:** (585) 756-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104670702) · Data from the CMS NPPES public registry.