DR. KIYOSHI KIMURA (NPI# 1255492732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255492732 |
| Entity Type | Individual |
| Full Name | DR. KIYOSHI KIMURA |
| Credential | MD |
| Practice Address |
725 Erie Blvd W Syracuse NY 13204-2482 |
| Mailing Address |
408 Onondaga Ter Syracuse NY 13207 |
| Practice Telephone | 3154797688 |
| Mailing Telephone | 3154752228 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
128621 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 665563 | 05 |
| Street Address |
725 ERIE BLVD W |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437196631 | Jeffrey M Roth | Optometrist | 725 Erie Blvd W, Syracuse, NY 13204-2229 | 2006-05-31 |
| 1265668206 | Children First, LLC | Early Intervention Provider Agency | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2009-06-04 |
| 1487890703 | Ann Marie Bryant | Speech-Language Pathologist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-12-17 |
| 1598910788 | Kirsten Basch | Speech-Language Pathologist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-12-01 |
| 1558516807 | Wendy Marie Kincaid | Occupational Therapist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-11-28 |
| 1770738346 | Michelle Marie Condon | Physical Therapist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-11-24 |
| 1326292913 | Rachel Ann Zerrillo | Speech-Language Pathologist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-11-09 |
| 1922251925 | Victoria Lee Jones | Physical Therapist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2008-11-04 |
| 1568657443 | Roth Vision Care, Doctor of Optometry, Pllc | Optometrist | 725 Erie Blvd W, Syracuse, NY 13204-2229 | 2007-09-13 |
| 1578649489 | Pamela Downey | Physical Therapist | 725 Erie Blvd W, Syracuse, NY 13204-2482 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679707772 | Mh-cny-fl Medical PC | Psychiatry & Neurology | 109 South Warren St., Suite 1605, Syracuse, NY 13202 | 2009-05-05 |
| 1437309135 | Rebecca Lori King | Psychiatry & Neurology | 713 Harrison Street, Syracuse, NY 13210 | 2008-09-30 |
| 1326223660 | Nanette Marie Dowling | Psychiatry & Neurology | 423 Brookford Rd, Syracuse, NY 13224-1805 | 2008-01-06 |
| 1174715114 | Zsuzsa Szombathyne Meszaros | Psychiatry & Neurology | 321 W Onondaga St, Suite 201, Syracuse, NY 13202-3207 | 2007-08-14 |
| 1497858674 | Thomas M Maltese | Psychiatry & Neurology | 620 Madison St., Hutchings Psychiatric Center, Syracuse, NY 13210-1811 | 2006-09-06 |
| 1184734469 | Joyce S Garber | Psychiatry & Neurology | 120 East Washington St, Suite 423, Syracuse, NY 13202-4006 | 2006-08-30 |
| 1144337163 | Jane Kou | Psychiatry & Neurology | 610 S Salina St, Syracuse, NY 13202-3524 | 2006-08-24 |
| 1245241181 | Roger G Levine | Psychiatry & Neurology | 4914 W Seneca Tpke, Syracuse, NY 13215-2225 | 2006-08-09 |
| 1295760569 | Carl C Spencer Jr. | Psychiatry & Neurology | 109 South Warren Street, Suite No 1016a, Syracuse, NY 13202 | 2006-07-12 |
| 1427029727 | Riaz Sibtain Syed | Psychiatry & Neurology | 109 S Warren St, Suite 1605, Syracuse, NY 13202-1798 | 2006-01-27 |
| Find all providers in SYRACUSE | ||||
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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.