KIMBALL S. KNACKSTEDT D.O. – NPI #1043530074
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

KIMBALL KNACKSTEDT is a thoracic surgeon located in RENO, NV. NPPES has assigned the NPI number 1043530074 to KIMBALL KNACKSTEDT on June 01, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 6 years ago on Dec 26, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIMBALL KNACKSTEDT below.

NPI Profile for
KIMBALL S. KNACKSTEDT

NPI Number
1043530074
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KIMBALL S. KNACKSTEDT
Credentials
D.O.
Primary location
1500 E 2ND ST STE 300
RENO, NV 89502-1198
Phone: (775) 982-5000 Fax: (775) 982-3900
1 Other location(s):
3110 MacCorkle Ave SE
Charleston, WV 25304-1210
Phone: (304) 388-6355
Fax: (304) 388-6009
Mailing address
850 HARVARD WAY
RENO, NV 89502-2055
Phone: (775) 982-5262 Fax: (775) 982-5496
Sole Proprietor
No
Updated
Certification Date
Dec 26, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 WV 3203

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KIMBALL KNACKSTEDT is affiliated with the following medical group(s):
  • HOSPITAL
    • RENOWN REGIONAL MEDICAL CENTER
      1155 MILL STREET
      RENO, NV 89502
    • SAINT MARY'S REGIONAL MEDICAL CENTER
      235 W 6TH ST
      RENO, NV 89503

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