Active NPI
Zachary Scott Kimble, PA-C
- Physician Assistant
- Danville, PA
National Provider Identifier
1275042442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA059329
- Practice address
- 100 N Academy Ave
Danville, PA 17822-2276 - Phone
- (570) 271-6389
- Fax
- (570) 271-6021
- NPI assigned
- Sep 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA059329 | PA | Primary |
Addresses
Primary practice location
100 N Academy Ave
Danville, PA 17822-2276
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 363-9071
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059329 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Nittany Medical Center Health Services Inc | Current | Accepting new patients | |
| Martin & Suhey Orthopedics, P.C. | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322
1700 Old Gatesburg Rd
Ste 200
State College, PA 16803
Phone (814) 237-4321
1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
-
- Orthopaedic Surgery Physician
- State College, PA
- NPI 1477730398
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewistown, PA
- NPI 1497338313
-
- Ambulatory Surgical Clinic/Center
- Port Matilda, PA
- NPI 1801531322
Hospital
-
- Psychiatric Hospital Unit
- Lewistown, PA
- NPI 1831242114
-
- General Acute Care Hospital
- Lewistown, PA
- NPI 1861545683
-
- General Acute Care Hospital
- Danville, PA
- NPI 1013384809
-
- General Acute Care Hospital
- Coal Township, PA
- NPI 1033491741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1275042442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178222276",
"telephone_number": "570-271-6389",
"fax_number": "570-271-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBLE",
"first_name": "ZACHARY",
"middle_name": "SCOTT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-20",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA059329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.