Kimberly a Schisler D O P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KIMBERLY A SCHISLER D O P C

Practice address

2210 Barron Rd
Poplar Bluff, MO 63901-1908

Phone

(573) 785-1333

Fax

(573) 785-1488

NPI assigned

May 19, 2006

Last updated

Sep 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly A Schisler, D.O.NPI 1386681328

Title

Physician

Phone

(573) 785-1333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Kimberly A Schisler, D.O.

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1386681328
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1871547372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 BARRON RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-785-1333",
            "fax_number": "573-785-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 BARRON RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011908",
            "telephone_number": "573-785-1333",
            "fax_number": "573-785-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY A SCHISLER D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "SCHISLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "573-785-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244707907",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidney Disease and Hypertension Specialists LLC
• Samara Kilgore
• Darrel Killian
• Jeffrey E Killian, BS
• Jill Kathleen Kimball
• Delina Diann King
• Kyle Reed King
• Timothy Aaron King, RPH
• Jennifer Lynn Kinney
• Stuart Skyler Kinsey, DO

• Family Medicine Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.