DR. EDWARD JOSEPH KIMLIN (NPI# 1134380702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134380702 |
| Entity Type | Individual |
| Full Name | DR. EDWARD JOSEPH KIMLIN |
| Credential | MD |
| Practice Address |
11915 Georgia Ave Wheaton MD 20902-2065 |
| Practice Telephone | 3019424505 |
| Practice Fax Number | 3019424509 |
| Mailing Telephone | 3019424505 |
| Mailing Fax Number | 3019424509 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
D0070302 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VA LICENSE | 0101251540 | 01 |
| MD | MD LICENSE | D0070302 | 01 |
| DEA | FK1553684 | 01 |
| Street Address |
11915 GEORGIA AVE |
| City | WHEATON |
| State | MD |
| Zip Code | 20902-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356369383 | Kenneth Veenema | Emergency Medicine | 11915 Georgia Ave, Wheaton, MD 20902-2065 | 2006-07-17 |
| 1134505134 | Caroline Tierney | Nurse Practitioner | 11915 Georgia Ave, Wheaton, MD 20902 | 2015-08-03 |
| 1871843409 | Medstar Urgent Care, LLC | Clinic/Center | 11915 Georgia Ave, Wheaton, MD 20902-2065 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053760256 | Christine Safrit | Emergency Medicine | 222 Newport Dr, Severna Park, MD 21146-1326 | 2016-06-08 |
| 1639528839 | Rachel Shanks | Emergency Medicine | 911 Crystal Spring Farm Rd, Annapolis, MD 21403-1001 | 2016-06-08 |
| 1417426867 | Kelsey Ayne Boulier | Emergency Medicine | 2900 S Hanover St, Baltimore, MD 21225-1232 | 2018-11-15 |
| 1063993889 | Bailey E Lewis | Emergency Medicine | 566 Brownson Rd, Annapolis, MD 21402-5006 | 2018-08-29 |
| 1003203068 | Jacqueline Durst | Emergency Medicine | 101 Braddock Rd, Frostburg State University Kinesiology Department, Frostburg, MD 21532-2303 | 2015-04-16 |
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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.