Kim E Israel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E6436 Issued in TX

Practice address

Amarillo VA Healthcare System
6010 Amarillo Blvd West
Amarillo, TX 79106

Phone

(806) 356-3705

NPI assigned

Aug 31, 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

Practice roles

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.

• Wyatt Clinic, P.a.

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1639280431
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518078229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 CAYMAN CT",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241153",
            "telephone_number": "806-584-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMARILLO VA HEALTHCARE SYSTEM",
            "address_2": "6010 AMARILLO BLVD WEST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-356-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "KIM",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R5669",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amany Iskander, PHARMD
• Alexander Vladimirovich Iskrenko, M.D., PH.D.
• A.S.M. Manzurul Islam, M.D.
• Thayer Ismaael, MD
• Anna Isom, LPC
• Susmitha Issac
• Jana Ivey, LPC
• Ivr Rejuvenation Station, LLC
• Ivrs Healthcare
• Mark W. Izzard, PSY. D.

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.