RUSSELL B KIMBALL


Address: 250 Arsenal St, Augusta, ME 04333-0011
Phone: 2076244657

RUSSELL B KIMBALL (NPI# 1841380235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841380235
Entity Type Individual
Full Name RUSSELL B KIMBALL
Credential PA-C
Practice Address 250 Arsenal St
Augusta
ME 04333-0011
Mailing Address 31 Johnson Street
South Gardiner
ME 04359
Practice Telephone 2076244657
Practice Fax Number 2072876123
Mailing Telephone 2075122318
Enumeration Date 2006-10-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA590 ME Physician Assistants & Advanced Practice Nursing Providers

Other Providers RUSSELL KIMBALL

NPI Name Taxonomy Address Enumeration
1497390942 Russell Ivan Kimball Massage Therapist 202 S Main St Ste 450, Aberdeen, SD 57401-4114 2019-11-07

Office Location

Street Address 250 ARSENAL ST
City AUGUSTA
State ME
Zip Code 04333-0011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053319566 State of Maine Psychiatric Hospital 250 Arsenal St, Augusta, ME 04333-0011 2005-07-08
1427686484 Karen Sherlock Registered Nurse 250 Arsenal St, Augusta, ME 04330-3599 2020-03-27
1316592892 Demetra Keith Nurse Practitioner 250 Arsenal St, Augusta, ME 04330-5742 2019-08-01
1730732967 Jorie W Ohlson Nurse Practitioner 250 Arsenal St, Augusta, ME 04330-3599 2019-07-17
1144766734 Jason Grundstrom-whitney Counselor 250 Arsenal St, Augusta, ME 04330-5742 2017-01-06
1053781492 Kelly Lemieux Dudley Nurse Practitioner 250 Arsenal St, Augusta, ME 04330-5742 2015-09-28
1801263520 Sarah Perry Pharmacist 250 Arsenal St, Augusta, ME 04330-5742 2015-08-28
1285027318 Lorraine Zamudio Psychologist 250 Arsenal St, Augusta, ME 04330-5742 2015-03-13
1962819201 Susan Fasulo Social Worker 250 Arsenal St, State House Station 11, Augusta, ME 04330-5742 2014-07-18
1003042185 Regana Contini Sisson Psychiatry & Neurology 250 Arsenal St, Augusta, ME 04333-0011 2009-06-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962757476 Stacia K St. John Registered Nurse 1 Togus Ctr, Augusta, ME 04333-0001 2012-07-20
1649413360 State of Maine Case Management 32 Blossom Ln, Augusta, ME 04333-0001 2009-04-10
1487864930 Shaun Quimby Social Worker 1 Weston Ct Fl 3, Augusta, ME 04333-0001 2007-05-23
1689793077 Elsie J Freeman Psychiatry & Neurology Main Dhhs, 11 State House Station, Augusta, ME 04333-0001 2007-03-28
1407985302 State of Maine Health and Environmental Tessting Laboratory Clinical Medical Laboratory Station 12, 221 State Street, Augusta, ME 04333-0001 2007-03-05
1053317164 Peter J Mascetta Radiology 6 East Chestnut Street, Augusta, ME 04333-0001 2005-06-23
1326081076 Grace Odimayo Dentist 250 Arsenal Street, 11 Shs, Augusta, ME 04333-0001 2006-06-13
1538144860 George Edward Davis Internal Medicine 250 Arsenal Street, 11 Shs, Augusta, ME 04333-0001 2005-12-09
1427370014 Susan Waldron Newkirk-sanborn Psychologist 250 Arsenal St., 11 State House Station, Augusta, ME 04333-0011 2010-02-23
1356678387 State of Maine Public Health or Welfare 286 Water Street, 9th Floor, Augusta, ME 04333-0011 2009-11-12
Find all providers in zip 04333

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443346 Margaret Howard Physician Assistant 1120 15th St # Ba8222, Augusta, GA 30912-0004 2020-10-02
1932740529 Karmen Littlejohn Elsen Physician Assistant 1120 15th St Professional Bld 1, Augusta, GA 30912-0004 2019-10-04
1821643313 Alicia M Sanborn Physician Assistant 21 Enterprise Dr, Augusta, ME 04330-7894 2019-08-02
1750856332 Annie Ruth Dennis-king Physician Assistant 1120 15th St # Bi-3088, Augusta, GA 30912-0004 2018-10-10
1649745415 Sara Bailey Physician Assistant 3486 Peach Orchard Rd, Augusta, GA 30906-5214 2018-10-09
1386154045 Anna Louise Walker Physician Assistant 1120 15th St Digestive Health Center Ad 2226, Augusta, GA 30912-0001 2017-10-09
1801337779 Women's Health of Augusta Physician Assistant 1303 Dantignac St Ste 2500, Augusta, GA 30901-2792 2017-03-13
1376090571 Kacee Camp Morris Physician Assistant 1350 Walton Way Fl 2, Augusta, GA 30901-2612 2016-09-06
1366807216 Ashley Andrews Macdearmid Physician Assistant 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 2015-12-19
1124490255 John R Martin Physician Assistant 3651 Wheeler Rd., Augusta, GA 30909 2015-10-28
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Competitor

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City AUGUSTA
Zip Code 04333

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Dataset Information

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.

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