CARLTON ROSS KIMMERLE (NPI# 1932427606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932427606 |
| Entity Type | Individual |
| Full Name | CARLTON ROSS KIMMERLE |
| Credential | MD |
| Practice Address |
909 Fulton St Se Minneapolis MN 55455-4800 |
| Practice Telephone | 6126727422 |
| Practice Fax Number | 6126768992 |
| Mailing Telephone | 6126727422 |
| Mailing Fax Number | 6126768992 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
58085 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
909 FULTON ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365122 | Gary L Bryant | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-06-10 |
| 1437756848 | Kelsey Larsen | Pharmacist | 909 Fulton St Se, Attn: 1st Floor Pharmacy 1.273, Minneapolis, MN 55455-4800 | 2020-10-08 |
| 1518572254 | Rachel Elizabeth Kraemer | Audiologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-09-10 |
| 1912527268 | Becca Marie Mahnesmith | Nurse Practitioner | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-16 |
| 1073142212 | Emily Kline | Health Educator | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-08 |
| 1689200024 | Zach Rivers | Pharmacist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-03-17 |
| 1518506138 | Carrie Leigh Kwiatkowski | Specialist/Technologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-12-30 |
| 1801432414 | Abigail Denise Conrad | Physician Assistant | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-11-19 |
| 1700428497 | Ashley Herman | Dietitian, Registered | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-10-14 |
| 1104471275 | Holly Heewon Lee | Genetic Counselor, MS | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194259978 | Allina Health System | Physical Medicine & Rehabilitation | 913 E 26th St, Ste 503, Minneapolis, MN 55404-4515 | 2017-04-18 |
| 1861866816 | Sipple Medical LLC | Physical Medicine & Rehabilitation | 2020 E 28th St, Suite 100, Minneapolis, MN 55407-1394 | 2015-11-13 |
| 1063842243 | Pain & Injury Center Pllc | Physical Medicine & Rehabilitation | 825 Nicollet Mall, Suite #1453, Minneapolis, MN 55402-2606 | 2013-11-25 |
| 1336103951 | Matthew R Monsein | Physical Medicine & Rehabilitation | 920 E 28th St, Minneapolis Heart Institute, Minneapolis, MN 55407-1139 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760774665 | Matthew James Timp | Physical Medicine & Rehabilitation | 2300 24th St Nw Ste 101, Bemidji, MN 56601-6656 | 2011-05-10 |
| 1679863773 | Pain Relief and Wellness of Minnesota | Physical Medicine & Rehabilitation | 4721 Clark Ave, White Bear Lake, MN 55110-3221 | 2011-04-11 |
| 1407174790 | Catherine Y Choi | Physical Medicine & Rehabilitation | 3580 Arcade Ste Ste 100, Vadnais Heights, MN 55127-7135 | 2010-05-11 |
| 1073788519 | Isaac Thomas Marsolek | Physical Medicine & Rehabilitation | 401 Phalen Blved, St Paul, MN 55130-5302 | 2008-04-25 |
| 1457325540 | Adam J Locketz | Physical Medicine & Rehabilitation | 7275 147th St W, Apple Valley, MN 55124-7808 | 2006-02-15 |
| 1548253933 | Advanced Spine Associates Pa | Physical Medicine & Rehabilitation | 8232 Highway 65 Ne, Spring Lake Park, MN 55432-2095 | 2005-08-31 |
| 1063414845 | David W Spight | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2005-08-11 |
| 1184044067 | Sakshi Kaul | Physical Medicine & Rehabilitation | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2014-04-18 |
| 1366886566 | Arcade Pain Center, P.l.l.c. | Physical Medicine & Rehabilitation | 651 Arcade St, Saint Paul, MN 55106-4518 | 2013-04-18 |
| 1548604846 | Kerri Wing-hun Chung | Physical Medicine & Rehabilitation | 295 Phalen Blvd, Saint Paul, MN 55130 | 2013-04-17 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on CARLTON ROSS KIMMERLE.
| 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.