Active NPI
Elizabeth S Kimmitt, MD
- Emergency Medicine Physician
- Timonium, MD
National Provider Identifier
1952344889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0027824
- Practice address
- 9515 Deereco Rd
Suite 205
Timonium, MD 21093-2116 - Phone
- (410) 252-6836
- Fax
- (410) 252-6825
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | D0027824 | MD | |
| Emergency Medicine Physician | 207P00000X | D0027824 | MD | Primary |
| Emergency Medicine Physician | 207P00000X | MD065121L | PA |
Addresses
Primary practice location
9515 Deereco Rd
Suite 205
Timonium, MD 21093-2116
Mailing address
2001 Butterfield Rd
Suite 300
Downers Grove, IL 60515-1050
Phone (630) 725-2730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327741100 | Medicaid | MD |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Remsen, MD PA | Emergency Medicine | Past | Accepting new patients |
| Pennsylvania Phlebology Group PC | Phlebology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Lanham, MD
- NPI 1346297124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1952344889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD",
"address_2": "SUITE 300",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151050",
"telephone_number": "630-725-2730",
"fax_number": "844-205-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 DEERECO RD",
"address_2": "SUITE 205",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932116",
"telephone_number": "410-252-6836",
"fax_number": "410-252-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMITT",
"first_name": "ELIZABETH",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "MD",
"license": "D0027824",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0027824",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD065121L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327741100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.