KIMBERLY UDELL (NPI# 1619059201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619059201 |
| Entity Type | Individual |
| Full Name | KIMBERLY UDELL |
| Credential | D.O. |
| Practice Address |
3602 Matlock Rd Ste 206 Arlington TX 76015-3600 |
| Mailing Address |
3602 Matlock Rd 206 Arlington TX 76015 |
| Practice Telephone | 8174681506 |
| Practice Fax Number | 8174681520 |
| Mailing Telephone | 8174681506 |
| Mailing Fax Number | 8174681520 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
L1225 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | EMPLOYER TX ID NUMBER | 651198393 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 8P5630 | 01 |
| TX | AMERIGROUP | 10029987 | 01 |
| TX | 165666201 | 05 |
| Street Address |
3602 MATLOCK RD STE 206 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013103191 | Kimberly Udell D.o., P.a. | Specialist | 3602 Matlock Rd Ste 206, Arlington, TX 76015-3600 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649694993 | Carol Ciofalo | Obstetrics & Gynecology | 5209 11th Rd N, Arlington, VA 22205-2424 | 2014-02-06 |
| 1659374783 | Kenneth Max Talkington | Obstetrics & Gynecology | 723 N Fielder Rd, Ste C, Arlington, TX 76012-4662 | 2005-05-23 |
| 1023150695 | Taylor Lee Hotchkiss | Obstetrics & Gynecology | 22 Mill St, Ste 204, Arlington, MA 02476-4784 | 2007-02-12 |
| 1306959804 | James C Mcfalls, Md | Obstetrics & Gynecology | 1715 N George Mason Dr, 502, Arlington, VA 22205-3609 | 2006-08-17 |
| 1861413965 | William Andre Silva | Obstetrics & Gynecology | 903 Medical Center Dr, Arlington, WA 98223-1697 | 2006-07-22 |
| 1023049061 | Luis E. Sanz | Obstetrics & Gynecology | 1625 N George Mason Dr, Suite 475, Arlington, VA 22205-3683 | 2006-07-06 |
| 1891739546 | John Paul Wood | Obstetrics & Gynecology | 811 Interstate 20 W, Suite 218, Arlington, TX 76017-5870 | 2006-06-15 |
| 1417995093 | G Byron Kallam | Obstetrics & Gynecology | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-03 |
| 1467423871 | Mark Gerard Doherty | Obstetrics & Gynecology | 1625 N George Mason Dr, Suite 475, Arlington, VA 22205-3683 | 2006-02-01 |
| 1902899610 | James C. Mcfalls | Obstetrics & Gynecology | 1715 N George Mason Dr, Ste 502, Arlington, VA 22205-3609 | 2005-08-27 |
| Find all providers in ARLINGTON | ||||
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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.