JIMMY CLARKE KIMBALL (NPI# 1316040926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316040926 |
| Entity Type | Individual |
| Full Name | JIMMY CLARKE KIMBALL |
| Credential | MD |
| Practice Address |
4600 Asheville Hwy Knoxville TN 37914-3665 |
| Mailing Address |
Po Box 15004 Knoxville TN 37901-5004 |
| Practice Telephone | 8655228114 |
| Practice Fax Number | 8665506541 |
| Mailing Telephone | 8655418895 |
| Mailing Fax Number | 8656334808 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 13576 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q007841 | 05 | |
| TN | BLUE CROSS BLUE SHIELD PROVIDER ID | 6165200 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1115 Blanton Dr, Sevierville, TN 378625050 | 8654534434 | 8654283508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346387339 | Jimmy Ray Kimball Jr. | Nurse Anesthetist, Certified Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2007-01-31 |
| Street Address |
4600 ASHEVILLE HWY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37914-3665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760585335 | Quynh Vu Wisniewski | Pediatrics | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2006-09-07 |
| 1487167656 | Kendall Evone Memory | Nurse Practitioner | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2017-11-10 |
| 1477981868 | Kayla Elaine Crye | Nurse Practitioner | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2013-10-22 |
| 1407289556 | Tiffany Beason Chittum | Nurse Practitioner | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2013-08-13 |
| 1548466220 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528594645 | Emory Boykins Young II | Counselor | 3535 Ne Kenilworth Ln, Knoxville, TN 37914 | 2017-05-10 |
| 1487079513 | E and K Taxi | Taxi | 1423 Fifth Ave, Knoxville, TN 37914 | 2014-02-26 |
| 1154768836 | G Way Transit | Non-emergency Medical Transport (VAN) | 513 Carta Rd., Knoxville, TN 37914 | 2013-06-04 |
| 1346511581 | Carroll W Mcginnis | Family Medicine | 9108 Brownlow Newman Ln., Knoxville, TN 37914 | 2012-01-19 |
| 1912212879 | Scarlett Marie Mynatt | Registered Nurse | 7051 Straw Plains Pike, Knoxville, TN 37914 | 2010-08-16 |
| 1356570964 | Steven Dwight Shults | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Knoxville, TN 37914 | 2009-07-06 |
| 1417152695 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4529 Asheville Highway, Knoxville, TN 37914 | 2007-06-18 |
| 1639600521 | Dana Leann Byrge | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Nhc, Knoxville, TN 37914 | 2017-03-23 |
| 1861703316 | Narendra R Patel | Pharmacist | 4423 Asheville Hwy, Knoxville, TN 37914 | 2010-06-30 |
| 1346705506 | Jennifer Bolden | Psychologist | 5217 Brig Ln, Knoxville, TN 37914-2824 | 2019-02-01 |
| Find all providers in zip 37914 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205333481 | Summit Medical Group,pllc | Pediatrics | 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 | 2018-04-12 |
| 1942643853 | Jennifer Lynne Jaynes | Pediatrics | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2013-04-10 |
| 1346510856 | Donald Eugene Lighter II | Pediatrics | 2120 River Sound Dr, Knoxville, TN 37922-5663 | 2012-01-01 |
| 1851536015 | Jennifer Leigh Damewood | Pediatrics | 1718 Saint Mary St Ste A, Knoxville, TN 37917-4518 | 2008-12-02 |
| 1316118714 | Pediatric Consultants At Cedar Bluff | Pediatrics | 9333 Park West Blvd Ste 104, Knoxville, TN 37923-4305 | 2008-03-13 |
| 1235294943 | Stanley S. Park | Pediatrics | 5300 Clinton Plaza Drive, Knoxville, TN 37912-3830 | 2006-12-22 |
| 1497845499 | Barbara Summers | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1689764656 | Deborah Jones Christiansen | Pediatrics | 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 | 2006-10-13 |
| 1699860692 | David Sean Teaster | Pediatrics | 4741 Broadway, Knoxville, TN 37918 | 2006-10-04 |
| 1215037106 | Deborah Zimo | Pediatrics | 611 22nd St, Knoxville, TN 37916-2211 | 2006-09-22 |
| Find all providers in KNOXVILLE | ||||
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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.