JOSEPH CARR KIMBELL (NPI# 1386084259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386084259 |
| Entity Type | Individual |
| Full Name | JOSEPH CARR KIMBELL |
| Credential | D.O. |
| Practice Address |
230 W. Blackhawk Blvd. Byron IL 61010 |
| Mailing Address |
Po Box 1567 Rockford IL 61110-0067 |
| Practice Telephone | 7796961300 |
| Practice Fax Number | 8152342314 |
| Mailing Telephone | 7796961750 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2016-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036141869 | IL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 5101020749 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
230 W. BLACKHAWK BLVD. |
| City | BYRON |
| State | IL |
| Zip Code | 61010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700303377 | Emily A Hussey | Speech-Language Pathologist | 1214 Glacier Dr, Byron, IL 61010 | 2017-08-24 |
| 1578893723 | Kelly Ann Rogers | Physical Therapy Assistant | 404 West Blackhawk Drive, Suite 1ll, Byron, IL 61010 | 2010-01-12 |
| 1891842464 | Susan M Penner | Optometrist | 134 E Blackhawk Dr, Byron, IL 61010 | 2007-01-04 |
| 1225199961 | Swedishamerican Hospital | Nurse Practitioner | 230 W Blackhawk Dr, Byron, IL 61010 | 2006-12-13 |
| 1912012808 | Jonathan S Link | Physical Therapist | 404 W Blackhawk Drive, Suite 1ll, Byron, IL 61010 | 2006-08-20 |
| 1821011297 | Byron Fire Protection District | Ambulance | 123 N Franklin St, Byron, IL 61010 | 2006-07-25 |
| 1386856490 | Emily Rogers | Family Medicine | 220 W Blackhawk Dr, Byron, IL 61010 | 2007-05-03 |
| 1568557189 | Bridget L Johnson | Physical Therapist | 404 W Blackhawk Drive, Suite 1u, Byron, IL 61010 | 2006-10-03 |
| 1659463834 | Angela Pfeiffer | Physical Therapist | 404 W Blackhawk Drive, Suite 1u, Byron, IL 61010 | 2006-09-28 |
| 1891754776 | Drew Alan Fitzanko | Physical Therapist | 209 N. Union St., Byron, IL 61010-0600 | 2006-03-21 |
| Find all providers in zip 61010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679911762 | Gorby Leon | Family Medicine | 1960 Hwy 247 Connector Ste A, Byron, GA 31008-5663 | 2013-06-11 |
| 1013149889 | Rachel Nicole Myers | Family Medicine | 109 N Franklin St, Byron, IL 61010-1441 | 2009-08-12 |
| 1679703896 | Lifepointe Medical Providers LLC | Family Medicine | 212 Ga Highway 49 N Ste 900, Byron, GA 31008-4064 | 2009-07-22 |
| 1427110915 | James A. Livingston | Family Medicine | 105 Moseley Rd, Byron, GA 31008-7148 | 2006-12-14 |
| 1942371158 | Lawrence Kirk Md LLC | Family Medicine | 200 Ga Highway 49 S, Byron, GA 31008-6937 | 2006-11-10 |
| 1427098870 | Arthur J Breck | Family Medicine | 220 W Blackhawk Dr, Byron, IL 61010-8988 | 2006-06-07 |
| 1003860081 | Mark J Wilbur | Family Medicine | 846 High Point Dr Ne, Byron, MN 55920-4407 | 2006-05-22 |
| 1619962610 | Lawrence F Kirk Jr. | Family Medicine | 200 Highway 49 South, Byron, GA 31008-6937 | 2005-09-15 |
| 1245687425 | Rachel Hansen | Family Medicine | 230 W Blackhawk Dr, Byron, IL 61010-8988 | 2016-05-18 |
| 1700143153 | Andrea V Abcejo | Family Medicine | 846 High Point Dr Ne, Byron, MN 55920-4407 | 2012-04-23 |
| Find all providers in BYRON | ||||
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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.