DR EARL S KIMBELL III DO PC (NPI# 1417016841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417016841 |
| Entity Type | Organization |
| Organization Name | DR EARL S KIMBELL III DO PC |
| Practice Address |
13825 N 7th St Suite F Phoenix AZ 85022-4342 |
| Practice Telephone | 6029426944 |
| Practice Fax Number | 6029426946 |
| Mailing Telephone | 6029426944 |
| Mailing Fax Number | 6029426946 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | DR. EARL S KIMBELL III (PRESIDENT CEO) |
| Authorized Official Telephone | 6029426944 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3489 | AZ | Ambulatory Health Care Facilities |
| Street Address |
13825 N 7TH ST SUITE F |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568429892 | Barbara Regina Kluger | Podiatrist | 13825 N 7th St, Suite J, Phoenix, AZ 85022-4342 | 2006-04-28 |
| 1851765531 | Rebecca Le Roy | Nurse Practitioner | 13825 N 7th St, Phoenix, AZ 85022-4342 | 2015-11-18 |
| 1396132791 | Healing Journeys, LLC | Acupuncturist | 13825 N 7th St, Suite H, Phoenix, AZ 85022-4342 | 2015-04-23 |
| 1710328356 | Charmaine Marck | Acupuncturist | 13825 N 7th St, Suite H, Phoenix, AZ 85022-4342 | 2013-07-11 |
| 1427495654 | Keystone Medical Institute | Family Medicine | 13825 N 7th St, Suite A, Phoenix, AZ 85022-4342 | 2013-05-29 |
| 1053572669 | David Burtless | Counselor | 13825 N 7th St, Suite F, Phoenix, AZ 85022-4342 | 2008-06-17 |
| 1376725895 | Barbara R Kluger | Podiatrist | 13825 N 7th St, Suite J, Phoenix, AZ 85022-4342 | 2007-11-27 |
| 1093869216 | Nathan M Easton | Dentist | 13825 N 7th St, Suite C, Phoenix, AZ 85022-4342 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1659858322 | Urbane Medical LLC | Clinic/Center | 67 E Weldon Ave Ste 235, Phoenix, AZ 85012-2045 | 2018-07-25 |
| 1003304130 | Sheperd Care | Clinic/Center | 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037-2354 | 2018-04-24 |
| 1992218119 | Desert Faith Therapy Services, LLC | Clinic/Center | 10000 N 31st Ave Ste D311, Phoenix, AZ 85051-1701 | 2017-11-09 |
| 1700303203 | Restassured Rx | Clinic/Center | 2423 W Dunlap Ave Ste 175, Phoenix, AZ 85021-5823 | 2017-08-25 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
| Find all providers in PHOENIX | ||||
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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.