G Edward Kimm Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

31626 Issued in CO

Practice address

1960 Ogden St Ste 400
Denver, CO 80218-3670

Phone

(303) 318-1540

Fax

(303) 318-3825

NPI assigned

May 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: gkimm21645@direct.sclhealth.com

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1346299559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD # 6250",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213408",
            "telephone_number": "303-272-0751",
            "fax_number": "303-318-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 OGDEN ST STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183670",
            "telephone_number": "303-318-1540",
            "fax_number": "303-318-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMM",
        "first_name": "G",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "31626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01316264",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Kimble, M.D.
• Jesse Kimbley
• Kimel Psychological Services, LLC
• Kimel Psychological Services, LLC
• Lila Kimel, PHD
• Hannah Kimmel Supron, MD, MPH
• Dawn M Kimmel, LPC
• Lauren Elizabeth Kimmel, O.D.
• Diane Elayne Kimmell, MSW
• Kimberly Kimpton, PT

• Surgery Physician in Denver, CO
• Providers in Denver, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.