KIMBERLY S BELKE (NPI# 1528167251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528167251 |
| Entity Type | Individual |
| Full Name | KIMBERLY S BELKE |
| Credential | PA. |
| Practice Address |
240 Riverside Dr. Johnson City NY 13790-2732 |
| Practice Telephone | 6077989356 |
| Practice Fax Number | 6077971707 |
| Mailing Telephone | 6077989356 |
| Mailing Fax Number | 6077971707 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 010895 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02720712 | 05 |
| Street Address |
240 RIVERSIDE DR. |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558440974 | Deborah Ann Natale | Social Worker | 240 Riverside Dr., Suite 6, Johnson City, NY 13790-2732 | 2006-11-05 |
| 1497832125 | Daria Ann Lisick | Physician Assistant | 240 Riverside Dr., Johnson City, NY 13790-2732 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616590 | Brenda L Rankhorn | Physician Assistant | 402 Brookwood Dr, Johnson City, TN 37615-4924 | 2020-07-09 |
| 1336706183 | Andrew Thomas Rogers | Physician Assistant | 401 E Watauga Ave, Johnson City, TN 37601-4036 | 2019-05-28 |
| 1750859831 | Bethany Marie Zakrzewski | Physician Assistant | 410 N State of Franklin Rd Ste 120, Johnson City, TN 37604-6972 | 2018-11-07 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1417453440 | Blue Ridge Medical Management Corpoartion | Physician Assistant | 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 | 2018-03-30 |
| 1083082838 | Amber Dykes | Physician Assistant | 119 Boone Ridge Dr Ste 201, Johnson City, TN 37615-8000 | 2015-09-10 |
| 1720336712 | Amy C Flint | Physician Assistant | 303 Med Tech Pkwy Ste 150, Johnson City, TN 37604-2394 | 2012-08-22 |
| 1568779155 | Tracy Mcwhorter Martino | Physician Assistant | 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 | 2010-09-03 |
| 1932430741 | Lisa M Adams | Physician Assistant | 1301 Sunset Drive, Suite 3, Johnson City, TN 37604 | 2010-01-18 |
| 1265594618 | Whitney Diane Davis | Physician Assistant | 2514 Wesley St Ste 102, Johnson City, TN 37601-1764 | 2006-12-14 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on KIMBERLY S BELKE.
| 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.