Neosom Clinics Dba ENT & Sleep Medicine

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

04-32263 Issued in KS

Legal business name

NEOSOM CLINICS DBA ENT & SLEEP MEDICINE

Practice address

7261 Ohms LN
Edina, MN 55439-2148

Phone

(612) 465-0123

Fax

(952) 843-4301

NPI assigned

Jul 15, 2010

Last updated

Jul 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry Paul Kimberley, M.D.NPI 1063417012

Title

President

Phone

(612) 465-0123

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Barry Paul Kimberley, MD

  • Otolaryngology Physician
  • Newton, KS
  • NPI 1063417012
  NPD (past) Authorized official

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1518270883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MEDICAL CENTER DR",
            "address_2": "SUITE 101",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149013",
            "telephone_number": "316-283-2828",
            "fax_number": "316-283-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 OHMS LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392148",
            "telephone_number": "612-465-0123",
            "fax_number": "952-843-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOSOM CLINICS DBA ENT & SLEEP MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "KIMBERLEY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-465-0123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "04-32263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200577150A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noelle M Nelson, MD
• Richard Allan Nelson, M.D.
• Sandra Rae Nelson, DDS
• Stephen John Nelson, MD
• George J. Nemanich, M.D.
• Nepeta Therapy PLLC
• William Nersesian, M.D.
• Kimberly Kay Ness, CNS
• Ryan T Ness, DPT
• Malcolm Netwal Drljic

• Otolaryngology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Otolaryngology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.