Individual provider Active NPI

Kimberle Keller Vore, MD

  • Family Medicine Physician
  • Washington, PA
National Provider Identifier
1255390480
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039745E Issued in PA
Practice address
95 Leonard Ave
BLDG 2
Washington, PA 15301-3368
Phone
(724) 223-3100
Fax
(724) 223-3353
NPI assigned
Mar 17, 2006
Last updated
Jun 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD039745E PA Primary

Addresses

Primary practice location

95 Leonard Ave
BLDG 2
Washington, PA 15301-3368

Mailing address

95 Leonard Ave
BLDG 2
Washington, PA 15301-3368
Phone (724) 223-3100

Other identifiers 5

IdentifierTypeStateIssuer
000512787OtherHIGHMARK
102749OtherUPMC
63904OtherUNISON
P000416OtherGATEWAY
0011876390003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080223000048 PA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 6709960180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD039745EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Hospice of Washington Family Medicine CurrentSince Jan 26, 1988 Accepting new patients
Upmc Washington Family Medicine CurrentSince Jan 26, 1988 Accepting new patients

Locations

3415 Millers Run Rd
Cecil, PA 15321
Phone (724) 225-6500

95 Leonard Ave
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
#2
Washington, PA 15301

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1255390480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE",
            "address_2": "BLDG 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-223-3100",
            "fax_number": "724-223-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE",
            "address_2": "BLDG 2",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-223-3100",
            "fax_number": "724-223-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORE",
        "first_name": "KIMBERLE",
        "middle_name": "KELLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039745E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000512787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "102749",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "63904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P000416",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011876390003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.