SOON JA KIM (NPI# 1023095643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023095643 |
| Entity Type | Individual |
| Full Name | SOON JA KIM |
| Credential | MD |
| Practice Address |
5808 Main St Elkridge MD 21075-5105 |
| Practice Telephone | 4107967730 |
| Practice Fax Number | 4103791537 |
| Mailing Telephone | 4107967730 |
| Mailing Fax Number | 4103791537 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2009-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0022832 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 794391100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841315231 | Soon Kuyn Kim | Psychiatry & Neurology | 29433 Southfield Rd, Suite 201, Southfield, MI 48076-2031 | 2007-03-21 |
| 1710121074 | Soon Young Kim | Physical Therapist | 1311 55th St, Brooklyn, NY 11219-4202 | 2009-04-29 |
| 1689813149 | Soon Ae Kim | Chiropractor | 2950 Horizon Park Drive, Suite D, Suwanee, GA 30024 | 2009-02-06 |
| 1649381153 | Soon Kim | Surgery | 1516 Virginia Ranch Rd, Gardnerville, NV 89410-5794 | 2006-08-31 |
| 1346200508 | Soon Gum Kim | Internal Medicine | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5405 | 2006-03-23 |
| 1396735551 | Soon H Kim | Anesthesiology | 12303 Depaul Drive, Bridgeton, MO 63044 | 2005-10-27 |
| Street Address |
5808 MAIN ST |
| City | ELKRIDGE |
| State | MD |
| Zip Code | 21075-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669796710 | Soon Ja Kim Md Pa | Family Medicine | 5808 Main St, Elkridge, MD 21075-5105 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043640 | Howard County Health Department | Clinic/Center | 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 | 2017-06-26 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1063762417 | Mid-atlantic Allergy & Asthma | Clinic/Center | 8182 Lark Brown Road, Elkridge, MD 21075 | 2012-09-13 |
| 1447522925 | Alberta Osei Agyeman | Social Worker | 7274 Elkridge Crossing Way, Elkridge, MD 21075 | 2012-01-31 |
| 1588970552 | Mira M Patel | Pharmacist | 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 | 2010-08-27 |
| 1710298112 | Emily Jeanne Marti | Nurse Practitioner | 6095 Marshalee Drive, Elkridge, MD 21075 | 2010-06-30 |
| 1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
| 1225250707 | Orthosport Physical Therapy of Md | Clinic/Center | 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 | 2007-05-03 |
| 1164643086 | Linda M. Jones-laper | Dentist | 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 | 2007-05-01 |
| 1487756813 | Robert E Skillman Jr. | Dentist | 5921 Old Washington Rd, Elkridge, MD 21075 | 2006-09-05 |
| Find all providers in zip 21075 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457537268 | Rubina Alvi | Family Medicine | 6020 Meadowridge Center Dr Ste U, Elkridge, MD 21075-7275 | 2008-01-11 |
| 1285693697 | Mary R Rifino | Family Medicine | 6518 Meadow Ridge Rd Ste 110, Elkridge, MD 21075-6458 | 2006-03-23 |
| 1295373744 | Komal Patel | Family Medicine | 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | 2019-12-16 |
| 1043326945 | Rajiv Dua | Family Medicine | 8186 Lark Brown Road, Suite 201, Elkridge, MD 21075 | 2006-08-22 |
| 1326154212 | Walter Y Chi | Family Medicine | 8186 Lark Brown Rd, Ste 201, Elkridge, MD 21075 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1770182693 | Britni Morgan | Family Medicine | 13620 Crayton Blvd Ste B, Hagerstown, MD 21742-2335 | 2020-10-21 |
| 1437757267 | Janice C Vaz | Family Medicine | 13912 Natia Manor Dr, North Potomac, MD 20878-4859 | 2020-10-14 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1740893650 | Melissa Josanne Richards | Family Medicine | 4511 Old Court Rd, Pikesville, MD 21208-2428 | 2020-08-29 |
| 1861003121 | Mind Algn LLC | Family Medicine | 7920 Norfolk Ave Ste 290, Bethesda, MD 20814-2500 | 2020-08-11 |
| 1669095402 | Refresh Pain and Wellness, LLC | Family Medicine | 6314 Windsor Mill Rd Ste 100, Gwynn Oak, MD 21207-6078 | 2020-05-27 |
| 1386265015 | Judi De'landa Brown-brown | Family Medicine | 7522 Gilley Ter, Rosedale, MD 21237-3703 | 2020-05-05 |
| 1073142147 | Lakeside Med, LLC | Family Medicine | 7820b Wormans Mill Rd # 276, Frederick, MD 21701-3034 | 2020-04-02 |
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
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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.