MR. STEPHEN MICHAEL KIMBROUGH


Address: 1321 Sunset Drive, Suite 11, Johnson City, TN 37604-7902
Phone: 4239286174

MR. STEPHEN MICHAEL KIMBROUGH (NPI# 1851345235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851345235
Entity Type Individual
Full Name MR. STEPHEN MICHAEL KIMBROUGH
Credential MD
Practice Address 1321 Sunset Drive
Suite 11
Johnson City
TN 37604-7902
Practice Telephone 4239286174
Practice Fax Number 4239262258
Mailing Telephone 4239286174
Mailing Fax Number 4239262258
Enumeration Date 2006-05-20
Last Update Date 2016-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD012583 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CIGNA 0140000838 01
OWCP DEPT OF LABOR 164888600 01
GM RETIREES 027897 01
PHP CARITEN TENNCARE 100027216 01
BLACK LUNG COAL MINERS 026086900 01
PHP CARITEN 602003807 01
VA 006190821 05
UMWA 1292658 01
UNITED HEALTHCARE 130014283 01
RR MEDICARE 130014283 01
KY 64796949 05
TN BCBS 0014824 01
NC NC STATE 05920 01
TN 3180257 05
NC 7905920 05
JOHN DEERE A55605 01

Other Providers STEPHEN KIMBROUGH

NPI Name Taxonomy Address Enumeration
1790209450 Stephen Robert Kimbrough Pharmacy Technician 6025 Jean Rd, Lake Oswego, OR 97035-5307 2017-08-03

Office Location

Street Address 1321 SUNSET DRIVE
SUITE 11
City JOHNSON CITY
State TN
Zip Code 37604-7902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245213545 Nathaniel Robb Whaley Psychiatry & Neurology 1321 Sunset Drive, Suite 11, Johnson City, TN 37604-7902 2005-11-22
1962784603 Shelly Howard Nurse Practitioner 1321 Sunset Drive, Suite 11, Johnson City, TN 37604 2011-09-19
1801823638 Tri State Mountain Neurology Associates PC Psychiatry & Neurology 1321 Sunset Drive, Suite 11, Johnson City, TN 37604-7902 2006-06-27
1396790085 John Martin Dengler Psychiatry & Neurology 1321 Sunset Drive, Suite 11, Johnson City, TN 37604-7902 2006-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
Find all providers in zip 37604

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194958215 Tanzila Shams Kulman Psychiatry & Neurology 410 N State of Franklin Rd Ste 135b, Johnson City, TN 37604 2009-08-24
1730387036 Ray Wallace Mettetal Jr. Psychiatry & Neurology 303 E 11th Ave, Johnson City, TN 37601-3932 2007-07-07
1942310149 Pamela J. Costello, Md, PC Psychiatry & Neurology 3915 Bristol Hwy Ste 103, Johnson City, TN 37601-1400 2006-08-30
1457365876 Pamela J Costello Psychiatry & Neurology 3915 Bristol Hwy Ste 301, Johnson City, TN 37601-1403 2006-07-28
1992750673 Yi Annette Huang Psychiatry & Neurology 105 Woodlawn Drive, Johnson City, TN 37604-5978 2006-05-23
1245213545 Nathaniel Robb Whaley Psychiatry & Neurology 1321 Sunset Drive, Suite 11, Johnson City, TN 37604-7902 2005-11-22
1205830536 Fernando Bendfeldt Psychiatry & Neurology 101 Med Tech Pkwy, Ste 407, Johnson City, TN 37604-4000 2005-05-23
1922574474 Blue Ridge Medical Management Corporation Psychiatry & Neurology 410 N State of Franklin Rd Ste 135b, Johnson City, TN 37604-6972 2018-10-22
1265987325 Upstate University Clinical Campus Medical Group At Binghamton, Inc. Psychiatry & Neurology 46 Harrison St, Johnson City, NY 13790-2120 2016-08-18
1659776375 Blue Ridge Medical Management Corporation Psychiatry & Neurology 410 N State of Franklin Rd, Suite 135, Johnson City, TN 37604-6971 2014-10-23
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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