Organization Active NPI

Neosom Clinics, P.a.

Doing business as ENT & Sleep Associates

  • Specialist
  • Newton, KS
National Provider Identifier
1831154236
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1675 Issued in MN
Legal business name
NEOSOM CLINICS, P.A.
Doing business as
ENT & Sleep Associates
Practice address
800 Medical Center Dr
Suite 230
Newton, KS 67114-7808
Phone
(316) 283-2828
Fax
(316) 283-2830
NPI assigned
Apr 19, 2006
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NEOSOM CLINICS, P.A. DBA ENT & SLEEP ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Barry P. Kimberley, M.D.NPI 1063417012
Title
President
Phone
(612) 465-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1675 MN Primary

Addresses

Primary practice location

800 Medical Center Dr
Suite 230
Newton, KS 67114-7808

Mailing address

800 Medical Center Dr
Suite 230
Newton, KS 67114-7808
Phone (316) 283-2828

Other names 1

  • ENT & Sleep Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Neosom Clinics PA

Locations

800 Medical Center Dr
Ste 230
Newton, KS 67114
Phone (316) 283-2828

701 25th Ave S
Ste 160
Minneapolis, MN 55454
Phone (612) 465-0123

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1831154236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "address_2": "SUITE 230",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671147808",
            "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": "800 MEDICAL CENTER DR",
            "address_2": "SUITE 230",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671147808",
            "telephone_number": "316-283-2828",
            "fax_number": "316-283-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOSOM CLINICS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEOSOM CLINICS, P.A. DBA ENT & SLEEP ASSOCIATES",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "KIMBERLEY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-465-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT & Sleep Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.