DR. RONALD E KIMBALL (NPI# 1003806514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003806514 |
| Entity Type | Individual |
| Full Name | DR. RONALD E KIMBALL |
| Credential | MD |
| Practice Address |
509 W University Ave Urbana IL 61801-1645 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173836636 |
| Practice Fax Number | 2173833466 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
036128873 | IL | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
45330 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 018061 | 01 |
| CO | 52572731 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356433734 | Ronald Lee Kimball | Psychologist | 4 Burket Ct, Silver Spring, MD 20910-1355 | 2006-09-29 |
| 1407825482 | Ronald Wayne Kimball | Ophthalmology | 7701 Lindbergh Blvd, Ste 713, Philadelphia, PA 19153 | 2006-03-14 |
| 1992075147 | Ronald Kimball | Rehabilitation Practitioner | 312 Crescent St, Greenville, CA 95947 | 2012-01-05 |
| Street Address |
509 W UNIVERSITY AVE |
| City | URBANA |
| State | IL |
| Zip Code | 61801-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786161 | Donnetta Burgess | Nurse Practitioner | 509 W University Ave, Urbana, IL 61801-1645 | 2020-10-08 |
| 1285287789 | Maddie R Johnson | Nurse Practitioner | 509 W University Ave, Urbana, IL 61801-1645 | 2019-07-23 |
| 1750841540 | Janette E Gibb | Nurse Practitioner | 509 W University Ave, Urbana, IL 61801-1645 | 2019-03-20 |
| 1447717525 | Kelly J Abrams | Nurse Practitioner | 509 W University Ave, Urbana, IL 61801-1645 | 2019-02-26 |
| 1942747803 | Melissa S. Phillips | Nurse Practitioner | 509 W University Ave, Mills, Urbana, IL 61801-1645 | 2017-01-30 |
| 1811350879 | Anna Arthur | Dietitian, Registered | 509 W University Ave, Urbana, IL 61801-1645 | 2016-03-29 |
| 1912379165 | Jarah Mikayle Leman | Nurse Practitioner | 509 W University Ave, Urbana, IL 61801-1645 | 2015-10-28 |
| 1710221064 | Carle Foundation Hospital | Durable Medical Equipment & Medical Supplies | 509 W University Ave, Urbana, IL 61801-1645 | 2012-11-26 |
| 1972891257 | Daniel H Barnett | Radiology | 509 W University Ave, Mills Cancer Institute, Urbana, IL 61801-1645 | 2011-07-20 |
| 1801108279 | Suparna Mantha | Internal Medicine | 509 W University Ave, Urbana, IL 61801-1645 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910657 | Allison Margaret Saiz | Obstetrics & Gynecology | 250 E Superior St Ste 5-2175, Chicago, IL 60611-2914 | 2015-04-22 |
| 1053677005 | Carrie Allison Mcilwain | Obstetrics & Gynecology | 6700 W 95th St Ste 330, Oak Lawn, IL 60453-2416 | 2012-04-04 |
| 1891094546 | Joseph P Bonanno | Obstetrics & Gynecology | 1010 Dixie Hwy Ste 313, Chicago Heights, IL 60411-2666 | 2011-03-21 |
| 1841457975 | Assaad Youssef Semaan | Obstetrics & Gynecology | 800 Biesterfield Rd Ste 302, Elk Grove Village, IL 60007-3378 | 2008-05-16 |
| 1598975336 | Nikki Lynn Neubauer | Obstetrics & Gynecology | 6700 West 95th Street, Suite 330, Oak Lawn, IL 60453-2199 | 2007-05-23 |
| 1124126040 | Arthur Herbst | Obstetrics & Gynecology | 5841 South Maryland Mc 2050, Chicago, IL 60657 | 2006-09-21 |
| 1922037787 | Michael Patrick Lowe | Obstetrics & Gynecology | 6700 W 95th St, Suite 330, Oak Lawn, IL 60453-2199 | 2006-07-02 |
| 1134197833 | Kennth Alan Hodel | Obstetrics & Gynecology | 6915 N Knoxville Ave, Suite 1, Peoria, IL 61614-2851 | 2006-03-09 |
| 1649242736 | Addie Alkhas | Obstetrics & Gynecology | 1875 Dempster St Ste 210, Park Ridge, IL 60068-1126 | 2006-02-03 |
| 1700876307 | Barbara Buttin | Obstetrics & Gynecology | 25 N. Winfield Rd., Winfield, IL 60190-1295 | 2005-10-25 |
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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.