KAB MEDICAL ASSOCIATES, INC (NPI# 1700066008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700066008 |
| Entity Type | Organization |
| Organization Name | KAB MEDICAL ASSOCIATES, INC |
| Practice Address |
2998 S Sare Rd Bloomington IN 47401-4330 |
| Practice Telephone | 8123253275 |
| Practice Fax Number | 8128292596 |
| Mailing Telephone | 8123253275 |
| Mailing Fax Number | 8128292596 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | DR. KENT A BEAMS (PRESIDENT) |
| Authorized Official Telephone | 8123233275 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01057486A | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1780682062 | 01 |
| Street Address |
2998 S SARE RD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578931796 | Gailey Westlund | Specialist | 2120 W Old Shakopee Rd # 3, Bloomington, MN 55431-3000 | 2015-09-03 |
| 1063719169 | Robert A Spicer | Specialist | 5225 W Vernal Pike, Bloomington, IN 47404-9661 | 2011-02-25 |
| 1073815882 | Stephen G Moore | Specialist | 2749 E Covenanter Dr, Bloomington, IN 47401-5454 | 2010-11-30 |
| 1508172099 | Annabelle L Ogerio | Specialist | 1211 Broad Creek Rd, Bloomington, IL 61704-8536 | 2010-08-23 |
| 1366684086 | Sterling Jerel Shores | Specialist | 2301 Ge Rd Apt 12, Bloomington, IL 61704-3425 | 2009-03-26 |
| 1205083417 | Anne J Ford Msw Licsw LLC | Specialist | 9810 Edgewood Rd, Bloomington, MN 55438-1755 | 2008-08-20 |
| 1164557799 | Biofeedback Training and Treatment Center, Inc. | Specialist | 5001 American Blvd W Ste 980, Biofeedback Training & Treatment Center, Inc., Bloomington, MN 55437-1164 | 2007-02-22 |
| 1093877151 | Alan B Somers | Specialist | 3800 Commodore Trl, Bloomington, IN 47408-9423 | 2006-12-15 |
| 1174692115 | Taehwan Kim | Specialist | 5342 Paola Cir, Bloomington, MN 55437-1052 | 2006-11-06 |
| 1114005402 | John R Labban | Specialist | 650 S Walker St, Bloomington, IN 47403-2158 | 2006-11-02 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on KAB MEDICAL ASSOCIATES, INC.
| 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.