DR. KIMBERLY REILLY (NPI# 1922083674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922083674 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY REILLY |
| Credential | M.D. |
| Practice Address |
751 Forest Ave Suite 401 Zanesville OH 43701-2868 |
| Mailing Address |
860 Bethesda Dr Zanesville OH 43701-1800 |
| Practice Telephone | 7404548502 |
| Practice Fax Number | 7404548641 |
| Mailing Telephone | 7404544651 |
| Mailing Fax Number | 7404544653 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35078399R | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM PIN | 000000185154 | 01 |
| OH | UNISON PIN | 000000177532 | 01 |
| OH | UHC PIN | 1204464 | 01 |
| OH | GROUP MEDICAID | 0989499 | 01 |
| MEDICARE PTAN | RE4028581 | 01 | |
| OH | CARESOURCE PIN | 311413469053 | 01 |
| OH | 2189911 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026789 | Kimberly Marcine Reilly | Registered Nurse | 3181 Conservancy Estates Ln, Sun Prairie, WI 53590-9249 | 2020-09-01 |
| 1184165342 | Kimberly Ann Reilly | Counselor | 358 S Oakdale Ave, Medford, OR 97501-3131 | 2017-03-20 |
| Street Address |
751 FOREST AVE SUITE 401 |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 43701-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886959 | Chester Osborn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 751 Forest Ave, Zanesville, OH 43701-2875 | 2005-07-29 |
| 1023631363 | Jocelyn Connell | Pharmacist | 751 Forest Ave, Zanesville, OH 43701-2868 | 2020-05-21 |
| 1821470089 | Kylie B Wells | Registered Nurse | 751 Forest Ave, Suite 300, Zanesville, OH 43701-2868 | 2015-06-24 |
| 1326433558 | Matthew Martin | Nurse Practitioner | 751 Forest Ave, Suite 402, Zanesville, OH 43701-2868 | 2015-04-03 |
| 1194138370 | Tisha Nikole Wardrip | Nurse Practitioner | 751 Forest Ave, Suite 202, Zanesville, OH 43701-2868 | 2014-06-05 |
| 1790105914 | Michael James Butler | Registered Nurse | 751 Forest Ave, Suite 200, Zanesville, OH 43701-2868 | 2014-04-27 |
| 1780931477 | Julie A Renner | Nurse Practitioner | 751 Forest Ave, Suite 202, Zanesville, OH 43701-2868 | 2012-08-13 |
| 1972879070 | Matthew P Schmieder | Pediatrics | 751 Forest Ave, Suite 401, Zanesville, OH 43701-2868 | 2012-03-22 |
| 1063721389 | Susan E Piecynski | Registered Nurse | 751 Forest Ave, Suite 200, Zanesville, OH 43701-2868 | 2010-10-04 |
| 1801104773 | Dianne C Johnson | Nurse Practitioner | 751 Forest Ave, Suite 202, Zanesville, OH 43701-2868 | 2010-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
| 1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
| 1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
| 1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
| 1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
| 1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
| 1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
| 1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
| 1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
| Find all providers in zip 43701 | ||||
| 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 |
|---|---|---|---|---|
| 1235348822 | Margaret Somple | Pediatrics | 751 Forest Ave Ste 401, Zanesville, OH 43701-2878 | 2007-05-21 |
| 1538145727 | Othello R Repuyan | Pediatrics | 3814 James Ct, Zanesville, OH 43701-0965 | 2005-12-20 |
| 1164425526 | Rajiv Gupta | Pediatrics | 1066 Beverly Ave, Zanesville, OH 43701-1415 | 2005-05-31 |
| 1982239034 | Erin Lee | Pediatrics | 3814 James Ct, Zanesville, OH 43701-0965 | 2020-03-10 |
| 1255862827 | Eric William Jones | Pediatrics | 2951 Maple Ave, Zanesville, OH 43701-1406 | 2017-03-24 |
| 1437530128 | Kevin Doyle | Pediatrics | 2725 Pinkerton Ln, Zanesville, OH 43701-1513 | 2015-06-18 |
| 1861886160 | Courtney M Nelson | Pediatrics | 716 Adair Ave, Zanesville, OH 43701-2836 | 2015-03-24 |
| 1972879070 | Matthew P Schmieder | Pediatrics | 751 Forest Ave, Suite 401, Zanesville, OH 43701-2868 | 2012-03-22 |
| 1659670156 | Danielle Paulozzi Roberts | Pediatrics | 716 Adair Ave, Zanesville, OH 43701-2836 | 2011-03-23 |
| 1992003313 | Zanesville Pediactrics | Pediatrics | 1066 Beverly Ave, Zanesville, OH 43701-1415 | 2011-03-09 |
| Find all providers in ZANESVILLE | ||||
| City | ZANESVILLE |
| Zip Code | 43701 |
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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.