THOMAS DUDLEY KIMBLE (NPI# 1649359993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649359993 |
| Entity Type | Individual |
| Full Name | THOMAS DUDLEY KIMBLE |
| Credential | MD |
| Practice Address |
825 Fairfax Ave Norfolk VA 23507-1914 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7576250557 |
| Practice Fax Number | 7576251361 |
| Mailing Telephone | 7576250557 |
| Mailing Fax Number | 7576251361 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0101240761 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC/BS | 06151 | 01 |
| VA | VIRGINIA PREMIER HEALTH | PAR | 01 |
| VA | USA MANAGED CARE | PAR | 01 |
| VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | PAR | 01 |
| VA | TRICARE/CHAMPUS | -010 | 01 |
| VA | 1649359993 | 05 | |
| VA | CIGNA | PAR | 01 |
| VA | AETNA | PAR | 01 |
| VA | UHC/MAMSI (OB/GYN) | 2165745 | 01 |
| NC | 5906151 | 05 | |
| VA | MULTIPLAN | PAR | 01 |
| VA | UHC/MAMSI (GYN) | 3166745 | 01 |
| VA | ANTHEM | 293664 | 01 |
| VA | CORVEL/CORCARE | PAR | 01 |
| VA | SENTARA | 10015910 | 01 |
| VA | VIRGINIA HEALTH NETWORK | PAR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558631879 | Thomas J Kimble Jr. | Nurse Anesthetist, Certified Registered | 2435 Forest Dr, Columbia, SC 29204-2026 | 2012-01-03 |
| 1831259621 | Thomas G Kimble | Pharmacist | 3346 Parkway, Pigeon Forge, TN 37863-3423 | 2006-12-11 |
| Street Address |
825 FAIRFAX AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167796 | Richard Norman Willard | Obstetrics & Gynecology | 825 Fairfax Ave, Suite 310, Norfolk, VA 23507-1914 | 2005-07-12 |
| 1053930800 | Seth Warren | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-12 |
| 1235768730 | Chelsea Time Rubis | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-06 |
| 1689203317 | Kristen Mcconnell Gogoli | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-04-04 |
| 1003445040 | Mruna Jaymin Patel | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-02 |
| 1750919130 | Mary Elizabeth Wade | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-03-31 |
| 1982232773 | Bradley Nicolas Cotrina | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-29 |
| 1841827821 | Miles Reese | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-27 |
| 1053948083 | Colin Neils Chao | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-27 |
| 1164984290 | Una Kosarac | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2019-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396298873 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 6353 Center Dr Ste 100, Norfolk, VA 23502-4100 | 2016-08-01 |
| 1245467521 | Bon Secours Depaul Medical Center Inc | Obstetrics & Gynecology | 100 Kingsley Ln Ste 100, Norfolk, VA 23505-4604 | 2009-06-15 |
| 1629211602 | Kristin Diana Kreider | Obstetrics & Gynecology | 880 Kempsville Rd Ste 2200, Norfolk, VA 23502-3990 | 2009-04-07 |
| 1477652626 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 100 Kingsley Ln Ste 200, Norfolk, VA 23505-4604 | 2006-09-22 |
| 1821008632 | Keisha L Burfoot | Obstetrics & Gynecology | 6161 Kempsville Cir Ste 340, Norfolk, VA 23502-3950 | 2006-08-08 |
| 1770527400 | Gynecology Associates Ltd Pllc | Obstetrics & Gynecology | 2810 Tidewater Dr., Norfolk, VI 23509 | 2006-06-15 |
| 1821051194 | Beth Ezzell Levin | Obstetrics & Gynecology | 825 Fairfax Ave Ste 310, Norfolk, VA 23507-1914 | 2006-04-08 |
| 1558331330 | David Fitzgerald Archer | Obstetrics & Gynecology | 601 Colley Ave, Norfolk, VA 23507-1627 | 2006-01-25 |
| 1770566481 | Tracy Thompson Thompson | Obstetrics & Gynecology | 1751 Morris St Bldg D-29, Box 168, Norfolk, VA 23511-2808 | 2005-11-28 |
| 1366433401 | James Scott Albin | Obstetrics & Gynecology | 2504 W Benjamin Ave, Norfolk, NE 68701-3120 | 2005-10-28 |
| Find all providers in NORFOLK | ||||
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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.