Individual provider Active NPI

Kimberly Lynn MC Abee, M.D.

  • Internal Medicine Physician
  • Boardman, OH
National Provider Identifier
1649227844
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.065659 Issued in OH
Practice address
6505 Market St
Boardman, OH 44512-3457
Phone
(330) 726-2100
NPI assigned
May 31, 2006
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35065659M OH
Internal Medicine Physician 207R00000X 35.065659 OH Primary

Addresses

Primary practice location

6505 Market St
Boardman, OH 44512-3457

Mailing address

7631 Mulberry Walk
Poland, OH 44514-2387

Other identifiers 3

IdentifierTypeStateIssuer
942460636108OtherOHCARESOURCE
P00220358OtherOHMEDICARE RR-GA
0133519MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000201 OH Practitioner - Internal MedicinePractitioner - Emergency Medicine 2062463565 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Northeastern Ohio University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Care FoundationGroup PAC ID 6002387131, 2 clinicians

Practice addresses (Care Compare)

9201 Lorain Ave
Cleveland, OH 44102-4897
Phone (216) 658-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35065659MOHMDEmergency Medicine Physician
35.065659OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Nov 19, 2004 Accepting new patients
Community Action Agency of Columbiana County Inc CurrentSince Jan 26, 2020 Accepting new patients
Community Action Agency of Columbiana County Inc CurrentSince Jan 26, 2020 Accepting new patients
Community Action Agency of Columbiana County Inc Current Accepting new patients
Youngstown Ohio Outpatient Services Company LLC Past Accepting new patients
Community Action Agency of Columbiana County, Inc Past Accepting new patients

Locations

16480 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7777

16494 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7870

7880 Lincole Pl
Lisbon, OH 44432
Phone (330) 424-5686

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

2376 Southeast Blvd
Salem, OH 44460
Phone (330) 337-7255

103 W Main St
Salineville, OH 43945
Phone (330) 679-2303

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

500 Gypsy Ln
#202
Youngstown, OH 44504
Phone (330) 757-7680

6505 Market St
Youngstown, OH 44512
Phone (330) 726-2100

6505 Market St
Bldg B
Youngstown, OH 44512
Phone (330) 726-2100

Interoperability endpoints

  • Direct secure messaging: kimberly.mcabee.p1@direct.sandy.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1649227844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 MULBERRY WALK",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123457",
            "telephone_number": "330-726-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC ABEE",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35065659M",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.065659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636108",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR-GA",
            "identifier": "P00220358",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133519",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.