Craig A. Kimmel, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD027489E Issued in PA

Practice address

2211 Quarry Dr
Suite E58C
West Lawn, PA 19609-1161

Phone

(610) 927-5394

Fax

(610) 927-5796

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Kimmel Nasal and Sinus Center

  • Otolaryngology Physician
  • West Lawn, PA
  • NPI 1952661134
  NPD

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1659370195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 QUARRY DR",
            "address_2": "SUITE E58C",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091161",
            "telephone_number": "610-927-5394",
            "fax_number": "610-927-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 QUARRY DR",
            "address_2": "SUITE E58C",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091161",
            "telephone_number": "610-927-5394",
            "fax_number": "610-927-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD027489E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard R Keenan, DDS
• Elisabeth Ann Kenna
• Keystone Advanced Therapy PC
• Anne Louise Kienle, OTR
• Kimmel Nasal and Sinus Center
• Paul C Lafata, D.P.M.
• Paul N Lafata, D.P.M.
• Stephen F. Latman, M.D.
• William Jeffrey Laubach, MS, LPC
• Leave the Light on Counseling LLC

• Otolaryngology Physician in West Lawn, PA
• Providers in West Lawn, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.