Kohl Jeffry Kimmel

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5634 Issued in OK

Practice address

1608 Castle Rock Rd
Yukon, OK 73099-4429

Phone

(405) 301-9988

NPI assigned

Sep 26, 2024

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297

  Physician Assistant

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SSM Health Care of Oklahoma Inc

  • Community/Retail Pharmacy
  • Oklahoma City, OK
  • NPI 1649602293

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1366545311
  Care Compare affiliation

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1336966647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 CASTLE ROCK RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994429",
            "telephone_number": "405-301-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 CASTLE ROCK RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994429",
            "telephone_number": "405-301-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 S Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731501001",
            "country_code": "US",
            "telephone_number": "405-815-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Parklawn Dr",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731104201",
            "country_code": "US",
            "telephone_number": "405-610-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Sara Rd",
            "address_purpose": "LOCATION",
            "city": "Mustang",
            "state": "OK",
            "postal_code": "730644306",
            "country_code": "US",
            "telephone_number": "405-376-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021036",
            "country_code": "US",
            "telephone_number": "405-272-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13401 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731141408",
            "country_code": "US",
            "telephone_number": "405-252-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 W MacArthur St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748041743",
            "country_code": "US",
            "telephone_number": "405-273-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13500 S Tulsa Dr",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731709719",
            "country_code": "US",
            "telephone_number": "405-815-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "KOHL",
        "middle_name": "JEFFRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wes Lee Kifer, DPH
• Noreen Kile
• Yong H Kim, PSY.D.
• Mark A. Kimble Jr., D.C.
• Jeff Kimmel, OTR
• Amanda Gail King, SLP
• Corie King, LPC
• Jennifer King, M.ED, LPC
• Jennifer Lee King
• Matthew Aaron King

• Physician Assistant in Yukon, OK
• Providers in Yukon, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.

Verify at the official NPI Registry.