Peter Kimball (NPI# 1689009201, PAC ID# 0941438550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1689009201 |
| PAC ID by PECOS | 0941438550 |
| Professional Enrollment ID | I20191111000159 |
| Full Name | Peter Kimball |
| Organization Legal Name | SOLANTIC OF JACKSONVILLE LLC |
| Address |
2401 Monument Rd Jacksonville FL 32225-2520 |
| Phone Number | 9046420337 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1052409307 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2401 Monument Rd, Jacksonville, FL 32225-2520 | 9046420337 | SOLANTIC OF JACKSONVILLE LLC |
| 410 Atlantic Blvd, Neptune Beach, FL 32266-4022 | 9042410117 | SOLANTIC OF JACKSONVILLE LLC |
| Organization Legal Name | SOLANTIC OF JACKSONVILLE LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Reynolds | Physician Assistant | Solantic of Jacksonville LLC | 4498 Hendricks Ave, Jacksonville, FL 32207-6326 |
| James P Ries | Family Medicine | Solantic of Jacksonville LLC | 5964 Normandy Blvd, Carespot Express Healthcare, Jacksonville, FL 32205-6212 |
| Brittany M Mcnamee | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Jonathan E Fountain | Family Practice | Solantic of Jacksonville LLC | 410 Atlantic Blvd, Neptune Beach, FL 32266-4022 |
| Hannah Weiss | Nurse Practitioner | Solantic of Jacksonville LLC | 12303 San Jose Blvd, Jacksonville, FL 32223-2640 |
| Robin M James | Nurse Practitioner | Solantic of Jacksonville LLC | 1021 Cesery Blvd, Jacksonville, FL 32211-5609 |
| Elizabeth A Samuels | Nurse Practitioner | Solantic of Jacksonville LLC | 2095 Us Hwy 1 S, Carespot Express Healthcare, St Augustine, FL 32086-6000 |
| Marc W Thorpe | Family Medicine | Solantic of Jacksonville LLC | 463941 Sr, 200 Carespot Express Healthcare, Yulee, FL 32097-6342 |
| Max T Billingsley | Emergency Medicine | Solantic of Jacksonville LLC | 13460 Beach Blvd, Suite 1, Jacksonville, FL 32224-0301 |
| Ghassan Ju Ghata | General Practice | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Street Address |
2401 MONUMENT RD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32225-2520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghassan Ju Ghata | General Practice | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Girija Chandran | Family Medicine | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Erica C Bilalovic | Nurse Practitioner | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Morgan Sanders | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Keisha D Pugh | Nurse Practitioner | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Stephanie Kinsey | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| John E Haas | Family Medicine | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Paul S Schklar | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Kelly M Trumble | Nurse Practitioner | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Jeffrey Edwards | Physician Assistant | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Delia Glisette Toledo | Psychiatry | Pacifica Care Pllc | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 |
| James L Lounsbury | Clinical Social Worker | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 | |
| Atul M Shah | Psychiatry | Pacifica Care Pllc | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225-0102 |
| Pennye B Arehart | Nurse Practitioner | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Carlos Barberis | Emergency Medicine | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Liberto M Colombo | Osteopathic Manipulative Medicine | Solantic of Jacksonville LLC | 2401 Monument Rd, Jacksonville, FL 32225-2520 |
| Brandon H Anderson | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| Ryan D Lamond | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| Brian David Anderson | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| Scott L Zager | Emergency Medicine | Paragon Emergency Services LLC | 11850 Atlantic Blvd, Jacksonville, FL 32225-2918 |
| Find all physicians in zip 32225 | |||
| City | JACKSONVILLE |
| Zip Code | 32225 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | JACKSONVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Peter Kimball.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.