RYAN KIMBALL (NPI# 1053721233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053721233 |
| Entity Type | Individual |
| Full Name | RYAN KIMBALL |
| Practice Address |
111 W High St Suite 314 Elkton MD 21921-5529 |
| Mailing Address |
210 Chesapeake Blvd Elkton MD 21921-6395 |
| Practice Telephone | 4106200545 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AC001389 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205382942 | Ryan Kimball | Behavioral Analyst | 444 S. 44th St., Omaha, NE 68131 | 2016-09-01 |
| Street Address |
111 W HIGH ST SUITE 314 |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062492 | Suzy Fawzy Nashed | Psychiatry & Neurology | 111 W High St, Suite 315, Elkton, MD 21921-5529 | 2005-09-07 |
| 1437649068 | Alliance Healthcare Services Inc | Clinic/Center | 111 W High St, Elkton, MD 21921-5529 | 2018-05-18 |
| 1174063879 | Union Hospital of Cecil County | Social Worker | 111 W High St, Suite 204, Elkton, MD 21921-5529 | 2017-02-28 |
| 1194268276 | Shane O'hare | Social Worker | 111 W High St, Ste 204, Elkton, MD 21921-5529 | 2016-11-22 |
| 1104373562 | Ashley, Inc. | Psychologist | 111 W High St, Elkton, MD 21921-5529 | 2016-09-02 |
| 1902353378 | Ashley, Inc. | Counselor | 111 W High St, Suite 109, Elkton, MD 21921-5529 | 2016-09-02 |
| 1841744232 | Ashley, Inc. | Counselor | 111 W High St, Suite 109, Elkton, MD 21921-5529 | 2016-08-15 |
| 1457767188 | Shauna L. Bright | Registered Nurse | 111 W High St, Suite 109, Elkton, MD 21921-5529 | 2014-07-02 |
| 1457779613 | Rebecca Anne Cleiman | Dentist | 111 W High St, Suite 111, Elkton, MD 21921-5529 | 2014-04-03 |
| 1831530708 | Whitney Leigh Kehrer | Dentist | 111 W High St, Suite 111, Elkton, MD 21921-5529 | 2013-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696303 | Tera J Gwaldis | Nurse Practitioner | 4570 County Road 13 S, Elkton, FL 32033-3402 | 2020-10-15 |
| 1558920488 | Dana Nall | Nurse Practitioner | 713 West Main Street Eklton, Ky 42220, Elkton, KY 42350 | 2019-06-13 |
| 1891299228 | Christina M Dotson | Nurse Practitioner | 4545 Golf Ridge Dr, Elkton, FL 32033-4011 | 2018-03-21 |
| 1215486972 | Betty J. Battaglia | Nurse Practitioner | 90 Clear Creek Gln, Elkton, MD 21921-6764 | 2016-09-22 |
| 1225429384 | Cagney Skipworth | Nurse Practitioner | 13000 Greenville Rd, Elkton, KY 42220-9625 | 2015-02-11 |
| 1669874632 | Loriann Washburn | Nurse Practitioner | 104 Northside Plz, Elkton, MD 21921-5320 | 2014-09-22 |
| 1558779702 | Ann Herford | Nurse Practitioner | 491 N Elkton Rd, Elkton, MI 48731-9727 | 2014-07-31 |
| 1316369721 | Joy Ponferrada Magee | Nurse Practitioner | 300 E Pulaski Hwy Ste 112, Elkton, MD 21921-6737 | 2014-01-21 |
| 1851733992 | Sarah Ashley Beam | Nurse Practitioner | 810 South Main Street, Elkton, KY 42220-0263 | 2013-07-17 |
| 1619241072 | Melissa Ann Hackett | Nurse Practitioner | 111 High Str, Suite 104, Elkton, MD 21921 | 2012-03-02 |
| Find all providers in ELKTON | ||||
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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.