DR. JAE Y LIM (NPI# 1083657910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083657910 |
| Entity Type | Individual |
| Full Name | DR. JAE Y LIM |
| Credential | M.D. |
| Practice Address |
1850 Town Center Pkwy Ste 559 Reston VA 20190-3300 |
| Practice Telephone | 7038764270 |
| Practice Fax Number | 7038764276 |
| Mailing Telephone | 7038764270 |
| Mailing Fax Number | 7038764276 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A060129 | CA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 0101240401 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST ID | 6186-0001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598989188 | Jae Hyung Lim | Chiropractor | 3534 Milwaukee Ave, Northbrook, IL 60062-7130 | 2007-04-13 |
| 1063575710 | Jae S. Lim | Dentist | 1123 S Park Victoria Dr, Milpitas, CA 95035-6975 | 2006-12-17 |
| 1831725167 | Jae Lim | Pharmacist | 6005 Kingston Pike, Knoxville, TN 37919-6346 | 2020-03-18 |
| 1922453372 | Jae Hyung Lim | Dentist | 4431 68th St, Fort Hood, TX 76544-5042 | 2016-05-03 |
| 1023209566 | Jae Lim | Otolaryngology | 3288 Moanalua Rd, Honolulu, HI 96819 | 2007-08-08 |
| Street Address |
1850 TOWN CENTER PKWY STE 559 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528366598 | Atlantic Brain and Spine Surgery | Neurological Surgery | 1850 Town Center Pkwy Ste 559, Reston, VA 20190-3300 | 2011-03-01 |
| 1861540411 | Jae Y. Lim, M.d. PC | Neurological Surgery | 1850 Town Center Pkwy Ste 559, Reston, VA 20190-3204 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528366598 | Atlantic Brain and Spine Surgery | Neurological Surgery | 1850 Town Center Pkwy Ste 559, Reston, VA 20190-3300 | 2011-03-01 |
| 1528275864 | Tiffany Powell Avila | Neurological Surgery | 1860 Town Center Dr, Suite 420, Reston, VA 20190-5896 | 2007-05-17 |
| 1861540411 | Jae Y. Lim, M.d. PC | Neurological Surgery | 1850 Town Center Pkwy Ste 559, Reston, VA 20190-3204 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970414 | April Hala | Neurological Surgery | 401 Ashleigh Rd, Purcellville, VA 20132-3059 | 2020-01-04 |
| 1902368483 | Subach Spinal Solutions | Neurological Surgery | 1635 N George Mason Dr Ste 150, Arlington, VA 22205-3679 | 2019-04-03 |
| 1720438245 | Maged D. Fam | Neurological Surgery | Vcuhs Dept of Anesthesiology Residency, 980459, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-06-15 |
| 1568756328 | Venita Marie Simpson | Neurological Surgery | 750 John Paul Jones Circle, Norfolk, VA 23708 | 2011-06-08 |
| 1376833533 | Ameet Chitale | Neurological Surgery | 8081 Innovation Park Dr Ste 900, Fairfax, VA 22031-4867 | 2011-04-08 |
| 1578885034 | General Business Concerns, Inc. | Neurological Surgery | 1039 Mayberry Crossing Dr, Moneta, VA 24121-6413 | 2010-02-24 |
| 1730414749 | Min S Park | Neurological Surgery | 1300 Jefferson Park Ave Fl 3, Charlottesville, VA 22903-3363 | 2009-10-08 |
| 1356515738 | Richard David Murray | Neurological Surgery | 1625 N George Mason Dr Ste 445, Arlington, VA 22205-3684 | 2008-04-17 |
| 1700066842 | Elisa J Kucia | Neurological Surgery | 541 Sunset Ln Ste 305, Culpeper, VA 22701-3979 | 2007-11-06 |
| 1053507764 | Mohammed A Bhatti Md | Neurological Surgery | 18th & 7th Streets Park Ave, Norton, VA 24273 | 2007-09-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JAE Y LIM.
| 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.