DR. DAE HYUN KIM (NPI# 1013123504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013123504 |
| Entity Type | Individual |
| Full Name | DR. DAE HYUN KIM |
| Credential | M.D., M.P.H. |
| Practice Address |
110 Francis St Lmob Suite 1a Boston MA 02215-5501 |
| Practice Telephone | 6176328696 |
| Practice Fax Number | 6176328968 |
| Mailing Telephone | 6176328696 |
| Mailing Fax Number | 6176328968 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 235927 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
235927 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699127068 | Dae Hyun Kim | Acupuncturist | 6650 Belair Rd, Baltimore, MD 21206-1874 | 2016-07-08 |
| Street Address |
110 FRANCIS ST LMOB SUITE 1A |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601373 | Richard Ian Whyte | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 110 Francis St, Ste 9f, Boston, MA 02215-5501 | 2005-06-30 |
| 1811515430 | Josephine Christer Mattsson | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2020-07-09 |
| 1659908010 | Kimberley Noij | Student in an Organized Health Care Education/Training Program | 110 Francis St, Boston, MA 02215-5501 | 2020-03-25 |
| 1619454733 | Kirstyn James | Internal Medicine | 110 Francis St, Boston, MA 02215-5501 | 2018-07-21 |
| 1609366814 | Maureen Doherty | Social Worker | 110 Francis St, Boston, MA 02215-5501 | 2018-05-14 |
| 1114433323 | Thao L Costanza | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2017-12-26 |
| 1427560184 | Alison Corbin | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2017-11-02 |
| 1124557368 | Melanie Catherine Rotty | Registered Nurse | 110 Francis St, Boston, MA 02215-5501 | 2017-06-10 |
| 1104379015 | Tiffany Berman | Audiologist | 110 Francis St, Boston, MA 02215-5501 | 2016-07-27 |
| 1467905406 | Abdulrahman Alturki | Student in an Organized Health Care Education/Training Program | 110 Francis St, Suite 3b, Boston, MA 02215-5501 | 2016-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306220900 | Mariuxi Alexandra Viteri Malone | Internal Medicine | 725 Albany Street, Shapiro 9, Boston, MA 02118 | 2015-07-13 |
| 1043620545 | Cynthia Schoettler | Internal Medicine | 110 Francis St Ste 1a, Boston, MA 02215 | 2014-05-06 |
| 1891727319 | Jane A Driver | Internal Medicine | Division of Aging, 1620 Tremont Street, Boston, MA 02120 | 2006-07-07 |
| 1801853205 | Erin Colleen O'fallon | Internal Medicine | 75 Francis Street Brigham and Womens Hospital, Pbb-b-4-room 428, Boston, MA 02215 | 2006-04-28 |
| 1851357198 | Juergen Bludau | Internal Medicine | 1620 Tremont Street, Brigham and Womens Hospital Division of Aging, Boston, MA 02120 | 2006-04-25 |
| 1386616670 | Lin-yuh Jenny Lee | Internal Medicine | 885 Washington St, Boston, MA 02111-1415 | 2006-02-02 |
| 1760460844 | Patricia N O'sullivan | Internal Medicine | Beth Israel Deaconess Medical Center, 300 Brookline Avenue, Boston, MA 02215 | 2006-01-09 |
| 1598366098 | Higuchi Medical Care, Pllc | Internal Medicine | 70 Fulton St, Boston, MA 02109-1402 | 2020-11-03 |
| 1285285841 | Sarah Lauren Sy | Internal Medicine | 330 Brookline Ave, Boston, MA 02215 | 2019-09-25 |
| 1619454733 | Kirstyn James | Internal Medicine | 110 Francis St, Boston, MA 02215-5501 | 2018-07-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.