Aaron J Kibler, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.122973 Issued in OH

Practice address

1264 Weaver Dr
Granville, OH 43023

Phone

(220) 564-1955

Fax

(220) 564-1956

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Licking Memorial Professional Corp.

  • Pediatrics Physician
  • Utica, OH
  • NPI 1497771521
  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1891081295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 WEAVER DR",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "43023",
            "telephone_number": "220-564-1955",
            "fax_number": "220-564-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 WEAVER DR",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "43023",
            "telephone_number": "220-564-1955",
            "fax_number": "220-564-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "AARON",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.122973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107370",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalpana Jones, M.D.
• Sheila Lakshmi Jones, LISW
• Stuart James Kanter, DO
• Karen H Berdan
• Zachary Aaron Kelm, DO
• Peter S Kim, MD
• Samuel Robert Kiner, DDS
• Kortni Talyor Kirtner
• Jenavieve Rose Kirwin
• Amy J Klinger, CNP

• Family Medicine Physician in Granville, OH
• Providers in Granville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.