Andrew S. Kimmel, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD045462E Issued in PA

Practice address

800 Ostrum St.
Suite 100
Bethlehem, PA 18015-1010

Phone

(484) 526-3010

Fax

(484) 526-3591

NPI assigned

Jun 13, 2006

Last updated

Oct 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Kimmel and Associates, P.C.

  • Ophthalmology Physician
  • Bethlehem, PA
  • NPI 1285677005
  Authorized official Same address or phone

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1316980022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OSTRUM ST.",
            "address_2": "SUITE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151010",
            "telephone_number": "484-526-3010",
            "fax_number": "484-526-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OSTRUM ST.",
            "address_2": "SUITE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151010",
            "telephone_number": "484-526-3010",
            "fax_number": "484-526-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "ANDREW",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD045462E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011944910001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. HIGHMARK BLUE SHIELD",
            "identifier": "55492",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. CAPITAL BLUE CROSS #",
            "identifier": "01204501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Jinyoung Kim
• Shinyoung Kim, DMD
• Alexa Kimball, PA-C
• Kimberlee Kimble
• Kimmel and Associates, P.C.
• Amy Kimsey, PA-C
• Sarah Kincaid, LSW
• Kim Andrea Kindred, LSW
• Joshua Kiner
• Ashleigh Marie King, CRNP

• Ophthalmology Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.