SOO Y KIM (NPI# 1083814511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083814511 |
| Entity Type | Individual |
| Full Name | SOO Y KIM |
| Other Name | SOO YEON OH |
| Credential | MD |
| Practice Address |
3901 Hoyt Ave Everett WA 98201-4918 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4253395435 |
| Practice Fax Number | 5124725057 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2014-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD60436260 | WA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | N8804 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2035220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811368376 | Soo Kim | Pharmacist | 757 Galaxy Heights Dr, La Canada Flintridge, CA 91011-1832 | 2015-10-09 |
| 1639511546 | Soo Kim | Dietitian, Registered | 1013 Ledgemont Dr, Plano, TX 75025-3510 | 2013-07-19 |
| 1932318219 | Soo H Kim | Optometrist | 25574 Dapper Ct, Chantilly, VA 20152-6318 | 2007-05-22 |
| 1619093739 | Soo Youn Kim | Optometrist | 14147 Pipeline Ave, Chino, CA 91710-5618 | 2007-03-21 |
| 1912064429 | Soo Yew Kim | Dentist | 1717 S Hoover St, Los Angeles, CA 90006-4958 | 2007-01-03 |
| 1851475958 | Soo R. Kim | Internal Medicine | 29 W Oneida St, Oswego, NY 13126 | 2006-10-25 |
| 1376578260 | Soo Bin Kim | Dentist | 14855 Blanco Rd Ste 413, San Antonio, TX 78216-7731 | 2006-07-11 |
| 1053870618 | Soo Kim | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2019-03-13 |
| 1649736265 | Soo Jin Kim | Behavior Technician | 12443 Lewis St Ste 201, Garden Grove, CA 92840-4650 | 2019-02-19 |
| 1396271185 | Soo M Kim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2017-05-11 |
| Street Address |
3901 HOYT AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086168 | Louie E Tsiktsiris | Internal Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2005-07-11 |
| 1720606288 | Janelle Pennock | Social Worker | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2020-07-10 |
| 1124660881 | Kathryn G Arneson | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-10-15 |
| 1144879933 | Laura Gaskill | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-09-05 |
| 1114572336 | Katie Mcwilliams | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-08-05 |
| 1134782543 | Nicole Lee Reis-eibara | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-04-22 |
| 1689139941 | Bridget Frauenholtz | Physician Assistant | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-31 |
| 1598229445 | Vanessa Nelson | Dietitian, Registered | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-24 |
| 1740779115 | Jamie Dong Viet Nguyen | Pharmacist | 3901 Hoyt Ave, Everett, WA 98201 | 2018-05-01 |
| 1902322274 | Aarica Arora | Family Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2017-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407910748 | Scott M Warden | Ophthalmology | 3226 Nassau St, Everett, WA 98201-4139 | 2006-12-21 |
| 1407920440 | Michael Venedict Osetinsky | Ophthalmology | 1724 West Marine View Drive, Suite 130, Everett, WA 98201-2088 | 2006-11-20 |
| 1023102597 | Alan L Burnstein | Ophthalmology | 3901 Hoyt, Everett, WA 98201 | 2006-10-02 |
| 1285608067 | Northeast Eye Care, Inc. | Ophthalmology | 503 Broadway, Everett, MA 02149-3603 | 2006-02-16 |
| 1205195641 | Thomas W Jones IIi | Ophthalmology | 3930 Hoyt Ave, Everett, WA 98201-4919 | 2012-05-04 |
| 1487946802 | Bryan Kim | Ophthalmology | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2011-05-03 |
| 1891940334 | Yasmin Shayesteh | Ophthalmology | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2008-11-25 |
| 1063611291 | Julie E Furlan | Ophthalmology | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2007-07-17 |
| 1447464573 | Northwest Washington Eye Specialists | Ophthalmology | 1724 West Marine View Drive, Suite 130, Everett, WA 98201-2088 | 2007-05-09 |
| 1861545691 | Charlotte P Saxby | Ophthalmology | 2930 Maple St, Everett, WA 98201-3832 | 2007-01-18 |
| Find all providers in EVERETT | ||||
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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.