KIMMIE L CASS (NPI# 1013967454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013967454 |
| Entity Type | Individual |
| Full Name | KIMMIE L CASS |
| Credential | D.O. |
| Practice Address |
1307 Cranesbill Ct Apt. 101 Belcamp MD 21017-2415 |
| Practice Telephone | 4106524812 |
| Mailing Telephone | 4106524812 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
2002-01349 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89-135YJ | 05 | |
| SC | Q01349 | 05 | |
| NC | BCBSNC | 135YJ | 01 |
| Street Address |
1307 CRANESBILL CT APT. 101 |
| City | BELCAMP |
| State | MD |
| Zip Code | 21017-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187390 | Lise M Greenberg | Family Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-01-05 |
| 1013912039 | Gloria Fern Moretz | Nurse Practitioner | 103 Bata Blvd, John Hopkins Community Physicians Waters Edge, Baltimore, MD 21017 | 2005-06-16 |
| 1689937260 | Glass Health Programs, Inc. | Community/Behavioral Health | 1361 Brass Mill Rd, Suite A, Bel Camp, MD 21017 | 2012-06-19 |
| 1861537532 | Laurie Bothwell | Emergency Medicine | 103 Bata Blvd, Suite A, Belcamp, MD 21017 | 2007-02-21 |
| 1730237330 | Stephen E Gentile | Dentist | 1321 Riverside Pkwy, D 4, Belcamp, MD 21017 | 2007-01-08 |
| 1932204716 | Elizabeth Jo Johnson | Physician Assistant | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-14 |
| 1215031612 | Marilyn Moshay Cooper | Pediatrics | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-08 |
| 1619070125 | Bernhard Birnbaum | Internal Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-07 |
| 1689184442 | Arrow Child & Family Ministries of Maryland | Community/Behavioral Health | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2017-10-06 |
| 1346887486 | Lori Ann Levy | Occupational Therapist | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2019-12-09 |
| Find all providers in zip 21017 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801812201 | Margaret Mary Brewinski Isaacs | Pediatrics | 6707 Democracy Blvd, Suite 400, Bethesda, MD 20817-1129 | 2006-07-15 |
| 1669417267 | Keyvan Rafei | Pediatrics | 6100 Dobbin Rd, Columbia, MD 21045-5804 | 2006-06-18 |
| 1194771378 | Martha W Stevens | Pediatrics | 1800 Orleans St # G-1509, Hospital Based @ Jhh-bloomberg Children's Center, Baltimore, MD 21287-0010 | 2006-05-26 |
| 1952359101 | Veena R Kumar | Pediatrics | 7710 Woodmont Ave Apt 411, Bethesda, MD 20814-6064 | 2006-05-04 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1528690864 | Alia Sunderji | Pediatrics | 615 N Wolfe St, Baltimore, MD 21205-2103 | 2020-02-05 |
| 1669947180 | Johns Hopkins University | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-10-11 |
| 1841652070 | Amita Ghuman | Pediatrics | 4940 Eastern Ave Fl 4, Baltimore, MD 21224-2735 | 2016-03-26 |
| 1215265996 | Frederick Memorial Hospital Inc | Pediatrics | 400 W 7th St, Frederick, MD 21701-4506 | 2009-11-18 |
| 1912167784 | Elizabeth Quaal Hines | Pediatrics | 650 W Lombard St, Baltimore, MD 21201-1513 | 2008-06-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.