DR. MARK W CIMMERER MD
NPI 1811070949
Radiology - Diagnostic Radiology in Grand Rapids, MI

Active since October 23, 2006
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 363-7339(616) 361-5828 Get Directions Write a Review

NPPES record last updated: May 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark W Cimmerer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK W CIMMERER MD (NPI 1811070949) is an individual diagnostic radiology provider in Grand Rapids, Michigan, licensed in Michigan (4301406940) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1811070949
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARK W CIMMERERCredential: MD
Location Address3264 N EVERGREEN DR NEGrand Rapids, MI 49525-9746
Mailing Address3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 363-7339 · Fax (616) 361-5828
Fax(616) 361-5828
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateMay 8, 2009
NPI 1811070949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4301406940
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3264 N EVERGREEN DR NE, Grand Rapids, MI 49525

Other Identifiers 9

Medicaid2824810MI
Other300023174MI · Railroad Medicare
Medicare ID-Type Unspecified0C36003012MI
Medicaid2829389MI
Medicare ID-Type Unspecified0C37603014MI
Other300023192MI · Railroad Medicare
Other200000001748MI · Php Of Midmichigan
Medicare UPINF26381MI
Medicaid2832974MI

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.

Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Physician Assistant
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525

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 Mark Cimmerer's NPI number?

The NPI number for Mark Cimmerer is 1811070949. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Mark Cimmerer located?

Mark Cimmerer practices at 3264 N Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 363-7339.

What is Mark Cimmerer's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mark Cimmerer was last updated on May 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.