Kimberly Van Scriver MD PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME73993 Issued in FL

Legal business name

KIMBERLY VAN SCRIVER MD PA

Doing business as

A Place for Women

Practice address

6817 Southpoint Pkwy
Suite 2204
Jacksonville, FL 32216-6282

Phone

(904) 674-0022

Fax

(904) 425-0192

NPI assigned

Apr 30, 2008

Last updated

Apr 28, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly P Van Scriver, MD

Title

Owner

Phone

(904) 674-0022

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• A Place for Women Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1013183938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 2204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-674-0022",
            "fax_number": "904-425-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 2204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "904-674-0022",
            "fax_number": "904-425-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY VAN SCRIVER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "VAN SCRIVER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-674-0022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME73993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477625457",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386658144",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205898517",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Place for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tae Yung Kim, DMD
• Yon Son Betty Kim, MD, PHD, FRCSC
• Mary Katherine Kimball, PA
• Peter Kimball, PA-C
• Kimberly Green
• Bobby Joe Neal Kimbro, FNP-C
• Myesha Kimbrough
• Robert Otis Kimbrough II
• Kimistry Health Express, LLC.
• Anja Kinaszczuk, DO

• Obstetrics & Gynecology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.