Robert M. Kimmel, MD, Facs, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ROBERT M. KIMMEL, MD, FACS, PC

Practice address

575 East Norwegian Street
Pottsville, PA 17901

Phone

(570) 622-2900

Fax

(570) 622-7787

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Robert Monroe Kimmel, M.D.NPI 1205808631

Title

Medical Director

Phone

(570) 622-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Monroe Kimmel, M.D., FACS

  • Plastic and Reconstructive Surgery Physician
  • Pottsville, PA
  • NPI 1205808631
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609969278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 EAST NORWEGIAN STREET",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-622-2900",
            "fax_number": "570-622-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 EAST NORWEGIAN STREET",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-622-2900",
            "fax_number": "570-622-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. KIMMEL, MD, FACS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-622-2900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross William Rismiller, M.D.
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00873)
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00507)
• Tiffany L Ritter, RD
• Kiana Rivera
• Kurtis Ryan Robinson, PTA
• Rocky Mountain Holdings, LLC (Lehigh Valley MedEvac)
• Luke J Rodriguez, MD
• Darcie Nan Roeder, PHYSICAL THERAPY
• Janet L Rollins, OTR

• Specialist in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.