Active NPI
Thomas J Kimmel, PA
- Physician Assistant
- Redmond, WA
National Provider Identifier
1851427405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10000552,
- Practice address
- 2701 156TH Ave NE
Redmond, WA 98052-5513 - Phone
- (425) 883-5020
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10000552, | WA | Primary |
Addresses
Primary practice location
2701 156TH Ave NE
Redmond, WA 98052-5513
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10000552, | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inmotion Imaging LLC | Past | Accepting new patients | |
| Northwest Hand Specialists, Inc., P.S. | Past | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Past | Accepting new patients | |
| Northwest Hand Specialists, Inc PS | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/4089/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
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- Spokane Valley, WA
- NPI 1508120411
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
dba Hand and Wrist Surgery Center of Washington
- Medical Specialty Clinic/Center
- Shoreline, WA
- NPI 1851316863
-
- Orthopaedic Hand Surgery Physician
- Shoreline, WA
- NPI 1467493890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1851427405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34584",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241584",
"telephone_number": "509-241-7349",
"fax_number": "509-241-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 156TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525513",
"telephone_number": "425-883-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMEL",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10000552,",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.