Active NPI
Ronald W Kimball M D P C
- Ophthalmology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD015251E
- Legal business name
- RONALD W KIMBALL M D P C
- Practice address
- 7701 Lindbergh Blvd
Suite 713
Philadelphia, PA 19153-2132 - Phone
- (215) 365-1113
- Fax
- (215) 365-1114
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald W Kimball, M.D.
- Title
- President
- Phone
- (215) 365-1113
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD015251E | PA | Primary |
Addresses
Primary practice location
7701 Lindbergh Blvd
Suite 713
Philadelphia, PA 19153-2132
Mailing address
1 Wingate CT
Flourtown, PA 19031-1117
Phone (215) 365-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00065287900001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
7701 Lindbergh Blvd
Ste 713
Philadelphia, PA 19153
Phone (215) 365-1113
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1407825482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288137600000",
"number": "1467627711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WINGATE CT",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "190311117",
"telephone_number": "215-365-1113",
"fax_number": "215-365-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 LINDBERGH BLVD",
"address_2": "SUITE 713",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191532132",
"telephone_number": "215-365-1113",
"fax_number": "215-365-1114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD W KIMBALL M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2010-10-27",
"status": "A",
"authorized_official_last_name": "KIMBALL",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-365-1113",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD015251E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00065287900001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.