KIMBALL JOHN SPENCE (NPI# 1295801835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295801835 |
| Entity Type | Individual |
| Full Name | KIMBALL JOHN SPENCE |
| Credential | DO |
| Practice Address |
1340 Hwy 133 Carbondale CO 81623-1933 |
| Practice Telephone | 9709633350 |
| Practice Fax Number | 9709632958 |
| Mailing Telephone | 9709633350 |
| Mailing Fax Number | 9709632958 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31471 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01314715 | 05 | |
| DEA | BS2347929 | 01 |
| Street Address |
1340 HWY 133 |
| City | CARBONDALE |
| State | CO |
| Zip Code | 81623-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376619916 | Richard Allen Herrington | Family Medicine | 1340 Hwy 133, Carbondale, CO 81623-1933 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818719 | Mike's Place LLC | Day Training, Developmentally Disabled Services | 325 Garfield Avenue, Carbondale, CO 81623 | 2020-10-14 |
| 1619447042 | Alexis Drane | Behavioral Analyst | 818 Industry Pl, Carbondale, CO 81623 | 2018-11-28 |
| 1003265166 | Communication Corner Speech Language Therapy LLC | Speech-Language Pathologist | 0402 Summit Drive, Carbondale, CO 81623 | 2016-06-09 |
| 1538531066 | Robert Pew | Counselor | 520 S 3rd St., Suite 12, Carbondale, CO 81623 | 2015-10-23 |
| 1326420068 | Hope Springs Counseling | Community/Behavioral Health | 1418 Country Road 107, Carbondale, CO 81623 | 2015-06-18 |
| 1932498425 | Kristen Elizabeth Maire | Social Worker | 0189 Jw Drive, Suite 5, Carbondale, CO 81623 | 2011-04-05 |
| 1518277169 | Sarah H Shook | Clinic/Center | 1378 West Main St, Carbondale, CO 81623 | 2010-10-18 |
| 1194909580 | Aspen Home Health Care Inc. | Case Management | 1158 Highway 133, Carbondale, CO 81623 | 2007-12-21 |
| 1679783211 | Julianne Stuart Guy | Midwife | 20 North 4th St, Carbondale, CO 81623 | 2007-05-23 |
| 1700972809 | Elizabeth Flood Spidell | Family Medicine | 1340 Hwy. 133, Carbondale, CO 81623 | 2006-10-05 |
| Find all providers in zip 81623 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502570 | Zubin Wala | Family Medicine | 300 W Oak St Ste 200, Carbondale, IL 62901-1400 | 2020-06-08 |
| 1023490950 | Kowsika Movva | Family Medicine | 207 W Jackson St Ste 102, Carbondale, IL 62901-1408 | 2015-06-27 |
| 1710392428 | Andrew John Hossler | Family Medicine | 207 W Jackson St Ste 101, Carbondale, IL 62901-1408 | 2014-06-23 |
| 1487833091 | Sarah Hasek, Md, LLC | Family Medicine | 207 W Jackson St Ste 202, Carbondale, IL 62901-1408 | 2007-10-31 |
| 1770635062 | Deedra Gail Mclain | Family Medicine | 300 W Oak St, Carbondale, IL 62901-1400 | 2007-01-17 |
| 1710034236 | Anna Gabriela Konicek | Family Medicine | 151 Summit Dr, Carbondale, CO 81623-8747 | 2007-01-05 |
| 1659447290 | Gary D Knaus | Family Medicine | 1340 Highway 133, Carbondale, CO 81623-1933 | 2006-11-27 |
| 1366526600 | Paul A Bennett | Family Medicine | 374 E. Grand Ave, Carbondale, IL 62901 | 2006-10-24 |
| 1285723635 | Roger D Jones | Family Medicine | 207 W Jackson Ste 102, Carbondale, IL 62901 | 2006-10-12 |
| 1700972809 | Elizabeth Flood Spidell | Family Medicine | 1340 Hwy. 133, Carbondale, CO 81623 | 2006-10-05 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 81623 |
Please comment or provide details below to improve the information on KIMBALL JOHN SPENCE.
| 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.