DR. MARC E KIMBALL (NPI# 1407843402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407843402 |
| Entity Type | Individual |
| Full Name | DR. MARC E KIMBALL |
| Credential | M.D. |
| Practice Address |
2001 N Jefferson Ave Suite 300 Mount Pleasant TX 75455-2371 |
| Practice Telephone | 9035729823 |
| Practice Fax Number | 9035724812 |
| Mailing Telephone | 9035729823 |
| Mailing Fax Number | 9035724812 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | J1709 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130955102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467815274 | Marc Daniel Kimball | Student in an Organized Health Care Education/Training Program | 272 Congress St, Portland, ME 04101-3637 | 2016-03-30 |
| Street Address |
2001 N JEFFERSON AVE SUITE 300 |
| City | MOUNT PLEASANT |
| State | TX |
| Zip Code | 75455-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455261 | Alvin Ernest Glenn | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2371 | 2005-05-24 |
| 1285263970 | Lacy White | Registered Nurse | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2020-04-03 |
| 1851921357 | Cheryl Ann Shovan | Registered Nurse | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2020-01-23 |
| 1104383082 | Jami Lanette Baker | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-27 |
| 1194281626 | Caleb Heath Mitchell | Nurse Anesthetist, Certified Registered | 2001 N Jefferson Ave, Mount Pleasant, TX 75455 | 2019-02-20 |
| 1780140194 | Angela Fritz | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-11 |
| 1972068328 | Jordan Kreusch | Physical Therapy Assistant | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2019-02-08 |
| 1659879443 | Laura Jean Arendt | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2018-01-26 |
| 1417471566 | Nicole Kalgren | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2017-07-31 |
| 1629505912 | Krystal Rachelle Bridwell | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455 | 2017-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1427565282 | Thelma Louise Frazier | Registered Nurse | 2610 Greenhill Rd, Mount Pleasant, TX 75455 | 2018-01-02 |
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
| 1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
| 1366828972 | The Lodge Assisted Living/memory Care | Assisted Living Facility | 1880 W 16th St, Mt Pleasant, TX 75455 | 2015-08-05 |
| 1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
| 1407277239 | Northeast Texas Community College Dental Hygiene Clinic | Dentist | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 | 2013-12-20 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1760792030 | Kay Madelon Harmon | Occupational Therapist | 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 | 2010-10-20 |
| Find all providers in zip 75455 | ||||
| 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 |
|---|---|---|---|---|
| 1265066658 | Sahar Alavi | Pediatrics | 1439 Cambridge Lakes Dr, Mount Pleasant, SC 29464-7301 | 2020-02-25 |
| 1235662651 | Anthony Robert Oddo | Pediatrics | 1041 Johnnie Dodds Blvd Ste 5a, Mount Pleasant, SC 29464-6156 | 2017-04-04 |
| 1215362710 | Northeast Texas Pediatrics, Pllc | Pediatrics | 2001 Mulberry Ave, Mount Pleasant, TX 75455-2362 | 2013-09-04 |
| 1114265436 | Isabella Fairey Mccall | Pediatrics | 307 Bampfield Dr, Mount Pleasant, SC 29464-2575 | 2013-01-21 |
| 1659527026 | Valarie Meredith Vukelic | Pediatrics | 1 Braddock Road Avenue, Suite C, Mount Pleasant, PA 15666-1458 | 2008-08-17 |
| 1497792238 | Steven Gary Walvisch | Pediatrics | 2935 Health Pkwy, Mount Pleasant, MI 48858-8931 | 2006-06-01 |
| 1629033980 | Theresa Thomas | Pediatrics | 1210 Chuck Dawley Blvd, Mount Pleasant, SC 29464-4186 | 2006-04-19 |
| 1336108174 | William John Langley II | Pediatrics | 1200 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3231 | 2006-03-21 |
| 1871586859 | Eva K Alessia | Pediatrics | 3807 Spring St, Mount Pleasant, WI 53405 | 2005-08-25 |
| 1013366608 | Allison Marie Blonski | Pediatrics | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2016-06-06 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 75455 |
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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.