JON POTTER KIMBALL


Address: 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550
Phone: 7279538090

JON POTTER KIMBALL (NPI# 1205917374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205917374
Entity Type Individual
Full Name JON POTTER KIMBALL
Credential MD
Practice Address 1988 Gulf To Bay Blvd
Clearwater
FL 33765-3550
Practice Telephone 7279538090
Practice Fax Number 7279538088
Mailing Telephone 7279538090
Mailing Fax Number 7279538088
Enumeration Date 2006-10-17
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery ME96185 FL Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery 2013-00103 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBSNC PROVIDER ID NUMBER 177VX 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
120 William Penn Plz, Durham, NC 277042150 9192205255 9193131276

Other Providers JON KIMBALL

NPI Name Taxonomy Address Enumeration
1053720565 Jon Adam Kimball Orthopaedic Surgery 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2014-08-08

Office Location

Street Address 1988 GULF TO BAY BLVD
City CLEARWATER
State FL
Zip Code 33765-3550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851387476 Ashraf Ahmed Ragab Orthopaedic Surgery 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 2005-09-20
1316445877 Amanda Michael Browne Nurse Practitioner 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 2018-01-30
1225403520 Comprehensive Anesthesia of Pinellas LLC Anesthesiology 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 2015-12-11
1639549223 Danielle Buchanan Nurse Practitioner 1988 Gulf To Bay Blvd, Clearwater, FL 33765 2015-09-25
1215247747 Comprehensive Spine Institute, LLC Specialist 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 2010-10-18
1902046493 Mohit Bansal Orthopaedic Surgery 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 2009-02-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023654449 Seawa Enterprise LLC Durable Medical Equipment & Medical Supplies 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 2019-11-20
1962996140 Jeremy Scott Martin Clinic/Center 2481 N.e. Coachman Rd, Clearwater, FL 33765 2018-06-20
1891172078 Comprehensive Surgery Center LLC Clinic/Center 407 Aurora Ave, Clearwater, FL 33765 2015-04-27
1184050411 Anthony Richard Cheslock Dentist 1831 Belcher Road North, 1-b, Clearwater, FL 33765 2013-09-18
1548609522 Andrew S Cormier Optometrist 2288 Drew Street, Suite B, Clearwater, FL 33765 2013-06-23
1124372412 Kelly Ann Potts Acupuncturist 112 Evelyn Avenue, Clearwater, FL 33765 2012-11-08
1235402876 Jerry N Karasick Chiropractor 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 2012-02-13
1538329362 Aei Diagnostic Imaging LLC Clinic/Center 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 2008-06-16
1700053311 Loredana Repetto Social Worker 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 2008-05-13
1679741920 Kussel & Associates Inc. Podiatrist 2378 Sunset Point Rd, Clearwater, FL 33765 2008-02-20
Find all providers in zip 33765

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356757512 Michael Venezia Orthopaedic Surgery 1011 Jeffords St Bldg D, Clearwater, FL 33756-4070 2014-07-09
1467748533 Gerard Lee Macdonald Orthopaedic Surgery 487 Island Way, Clearwater, FL 33767-2145 2011-06-27
1811126048 Mitchell Ray Herrema Orthopaedic Surgery 1011 Jeffords St Bldg C, Clearwater, FL 33756 2009-07-09
1306041421 Clearwater Orthopedic & Sports Medicine Inc Orthopaedic Surgery 701 N Hercules Ave Ste A, Clearwater, FL 33765-2029 2007-06-19
1649292046 Andrew Wells Moulton Orthopaedic Surgery 2730 N Mcmullen Booth Rd Ste 202, Clearwater, FL 33761-3302 2006-07-24
1831137066 Orthosports LLC Orthopaedic Surgery 3251 Mcmullen Booth Road, Suite 201, Clearwater, FL 33761 2006-06-02
1851387476 Ashraf Ahmed Ragab Orthopaedic Surgery 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 2005-09-20
1497749246 Howard Louis Schuele Orthopaedic Surgery 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 2005-09-08
1053304022 Robert Donnelly Orthopaedic Surgery 1660 Gulf To Bay Blvd, Clearwater, FL 33755 2005-08-25
1790778769 Ronald G Hayter Orthopaedic Surgery 1831 N Belcher Rd Ste E2, E2, Clearwater, FL 33765-1442 2005-08-25
Find all providers in CLEARWATER

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City CLEARWATER
Zip Code 33765

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Dataset Information

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.

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