EDWARD T KIMBLE (NPI# 1861494155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861494155 |
| Entity Type | Individual |
| Full Name | EDWARD T KIMBLE |
| Credential | M.D. |
| Practice Address |
6190 Barnes Rd Colorado Springs CO 80922-2600 |
| Practice Telephone | 7195964502 |
| Practice Fax Number | 7195972668 |
| Mailing Telephone | 7195964502 |
| Mailing Fax Number | 7195972668 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 18173 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01181734 | 05 |
| Street Address |
6190 BARNES RD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80922-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919365 | Buck Jack LLC | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-10-09 |
| 1619574282 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-10-06 |
| 1518572841 | Amy Shandy, Speech-language Pathologist, LLC | Psychologist | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-09-14 |
| 1427663756 | Amy Shandy, Speech-language Pathologist, LLC | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-09-14 |
| 1417562323 | Michaela Harris | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-09-09 |
| 1215548425 | Buck Jack LLC | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-08-11 |
| 1619587409 | Buck Jack LLC | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-08-06 |
| 1669080719 | Esther L Bednar | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-07-15 |
| 1679191670 | Elizabeth Dandino | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-07-07 |
| 1568084846 | Mckenzie Kist | Speech-Language Pathologist | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662709 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - Md, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1578177895 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - App, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1528566965 | Caitlin Corbeit Kroetsch | Massage Therapist | 5349 Ferraro Drive, Colorado Springs, CO 80922 | 2018-01-31 |
| 1154861169 | Miriam Freire | Dental Hygienist | 3759 Swainson Dr., Colorado Springs, CO 80922 | 2017-02-24 |
| 1528507712 | Brandon Hutchinson | Social Worker | 6972 Hillock Fr, Colorado Springs, CO 80922 | 2017-02-21 |
| 1841648052 | Delene Suzuki Babauta | Dental Assistant | 7279 Withers Pl, Colorado Springs, CO 80922 | 2016-05-27 |
| 1225442601 | Betsy Titus | Physical Therapy Assistant | 6355 Silverado Trl, Colorado Springs, CO 80922 | 2014-06-13 |
| 1255754214 | Lynor Dicang Hardy | Military Health Care Provider | Cheyenne Mountain Air Station, Colorado Springs, CO 80922 | 2014-01-28 |
| 1861774184 | North Powers Modern Dentistry, LLP | Dentist | 5430 Tutt Boulevard, Colorado Springs, CO 80922 | 2011-09-13 |
| 1255589297 | Kendra D Robison | Internal Medicine | 6340 E Barnes Road, Colorado Springs Health Partners Internal Medicine, Colorado Springs, CO 80922 | 2008-09-03 |
| Find all providers in zip 80922 | ||||
| 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 |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1669079075 | Colorado Otolaryngology Associates, LLC | Specialist | 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 | 2020-10-08 |
| 1205459633 | Associates In Gastroenterology, P.C. | Specialist | 6011 E Woodmen Rd Ste 345, Colorado Springs, CO 80923-2606 | 2020-05-20 |
| 1154973451 | Jimson Franck | Specialist | 4330 Hunting Meadows Cir, Colorado Springs, CO 80916-2460 | 2019-07-16 |
| 1477083954 | Elizabeth Mary Edling | Specialist | 8321 Steadman Dr, Colorado Springs, CO 80920-7058 | 2017-06-15 |
| 1306385026 | Kirsten Arbogast | Specialist | 2017 E Van Buren St, Colorado Springs, CO 80909-7828 | 2017-02-14 |
| 1538602750 | Shelby Thomas | Specialist | 6225 Emma Ln, Colorado Springs, CO 80922-1825 | 2016-11-19 |
| 1174073431 | Danella Ann Lynn | Specialist | 6140 Tutt Blvd Ste 120, Colorado Springs, CO 80923-3574 | 2016-10-11 |
| 1821449851 | Deana Schlepp | Specialist | 6219 Gemfield Dr, Colorado Springs, CO 80918-6107 | 2016-06-30 |
| 1639539612 | Andrew Bonner | Specialist | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903 | 2016-03-03 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80922 |
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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.