CRAIG S. KIMMEL (NPI# 1255307591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255307591 |
| Entity Type | Individual |
| Full Name | CRAIG S. KIMMEL |
| Credential | MD |
| Practice Address |
1 Brace Road Suite B Cherry Hill NJ 08034 |
| Mailing Address |
500 Grove St Suite 100 Haddon Heights NJ 08035-1761 |
| Practice Telephone | 8564709029 |
| Practice Fax Number | 8564284053 |
| Mailing Telephone | 8567969200 |
| Mailing Fax Number | 8567969397 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
25MA05473800 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2223902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952522617 | Craig Matthew Kimmel | Dentist | 7397 North 600 West, Ste 400, Mccordsville, IN 46055-7219 | 2007-05-01 |
| 1659370195 | Craig A. Kimmel | Otolaryngology | 2211 Quarry Dr, Suite E58c, West Lawn, PA 19609-1161 | 2005-07-18 |
| Street Address |
1 BRACE ROAD SUITE B |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747257 | Richard M Gomberg | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2005-08-18 |
| 1437120078 | Walter Klodnicki | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2006-01-31 |
| 1114998218 | Steven Fox | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2006-01-28 |
| 1497726764 | Michael Harkins | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2006-01-27 |
| 1255301552 | Paul K Davis | Surgery | 1 Brace Road, Suite C, Cherry Hill, NJ 08034 | 2006-01-26 |
| 1285613133 | Devender N Akula | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2006-01-10 |
| 1164416590 | Scott L Siegal | Internal Medicine | 1 Brace Road, Suite C, Cherry Hill, NJ 08034-2624 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1144748120 | Arc of Camden County Chanticleer Drive Supported Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Chanticleer Drive, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
| 1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
| 1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
| Find all providers in zip 08034 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134564768 | Christopher Chong | Family Medicine | 1 Brace Rd Ste B5, Cherry Hill, NJ 08034-2600 | 2013-05-09 |
| 1457761223 | Krishna Konakondla | Family Medicine | 315 Route 70 E, Cherry Hill, NJ 08034-2408 | 2014-05-02 |
| 1497872824 | Michael Christopher Schettino | Family Medicine | 409 Route 70 East, 2nd Floor, Cherry Hill, NJ 08034-2413 | 2007-03-22 |
| 1437288263 | Clinical Health Care Associates of New Jersey, PC | Family Medicine | 409 Route 70 E, Cherry Hill, NJ 08034-2413 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270095 | Matthew Parisi | Family Medicine | 186 County Road 520 Ste 3, Morganville, NJ 07751-1246 | 2015-07-17 |
| 1679991145 | Jason Anthony Krystofiak | Family Medicine | 200 S Orange Ave Ste 118, Livingston, NJ 07039-5817 | 2014-04-02 |
| 1629419163 | Sports Management Institute LLC | Family Medicine | 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611 | 2013-07-12 |
| 1700221561 | Elad Tennen | Family Medicine | 2315 Highway 34 Ste D, Manasquan, NJ 08736-1444 | 2013-05-07 |
| 1154642486 | Melissa Mascaro | Family Medicine | 1 Bay Ave Fl 3, Montclair, NJ 07042-4837 | 2010-06-22 |
| 1649430109 | Bryan Richard Barrett | Family Medicine | 2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587 | 2008-06-09 |
| 1477723245 | Lourdes Medical Associates, Pa | Family Medicine | 728 Marne Hwy Ste 100c, Moorestown, NJ 08057-3128 | 2008-03-07 |
| 1437332749 | New Jersey Sports Medicine and Performance Center LLC | Family Medicine | 689 Valley Rd Ste 104, Gillette, NJ 07933-1906 | 2007-12-10 |
| 1801010723 | Thomas W Plut | Family Medicine | 728 Marne Hwy Ste 100c-3, Moorestown, NJ 08057-3128 | 2007-04-12 |
| 1215964846 | Marc Richard Silberman | Family Medicine | 689 Valley Rd, Suite 104, Gillette, NJ 07933-1919 | 2006-06-27 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
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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.