Jay W Kimball, MD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R6A86 Issued in MO

Practice address

6450 N Chatham Ave
Kansas City, MO 64151

Phone

(816) 741-5542

Fax

(816) 746-4262

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meritas Health Corporation

  • Neurology Physician
  • North Kansas City, MO
  • NPI 1023439833
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1114904398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY",
            "address_2": "# LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552233",
            "telephone_number": "816-436-7072",
            "fax_number": "816-436-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 N CHATHAM AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64151",
            "telephone_number": "816-741-5542",
            "fax_number": "816-746-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JAY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R6A86",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soomee Kim
• Stephanie Kim
• Andrew P Kimaku Karu, MD
• Emily K Kimaku, MD
• Cassidy N Kimball, AA
• Gabriel Thomas Kimbrough, PHARMD
• Brooks David Kimmis, MD, MAY 2018
• Joshua Henry Kimrey, MD
• Benjamin Charles Kincaid, DDS
• Katherine Beam Kincaid, AU.D.

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.