GRACE J. KIM (NPI# 1093917981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093917981 |
Entity Type | Individual |
Full Name | GRACE J. KIM |
Credential | MD |
Practice Address |
2100 Erwin Rd Durham NC 27705-3941 |
Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
Practice Telephone | 9196848111 |
Mailing Telephone | 9196204700 |
Enumeration Date | 2007-06-03 |
Last Update Date | 2012-06-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2011-01018 | NC | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407417611 | Grace Kim | Acupuncturist | 414 N Coast Highway 101, Encinitas, CA 92024-2529 | 2019-06-27 |
1417415662 | Grace Kim | Dietitian, Registered | 2120 Evergreen Dr, San Bruno, CA 94066-1828 | 2019-03-06 |
1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
1023405305 | Grace Eunheh Kim | Dentist | 7112 Ed Bluestein Blvd Ste 130, Austin, TX 78723-2924 | 2015-04-23 |
1679991897 | Grace Kim | Pediatrics | 925 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2014-04-03 |
1437572153 | Grace Kim | Occupational Therapist | 1607 W Redondo Beach Blvd, Gardena, CA 90247-3241 | 2014-01-31 |
1912335001 | Grace Jiin Kim | Acupuncturist | 61 Campbell Ave, Woodcliff Lake, NJ 07677-8061 | 2013-10-29 |
1255766119 | Grace Kim | Registered Nurse | 19416 37th Ave, Flushing, NY 11358-4003 | 2013-09-11 |
1366787103 | Grace G Kim | Physical Therapist | 375 Dover Chester Rd, Randolph, NJ 07869-3910 | 2012-12-05 |
1255684189 | Grace Donghwa Kim | Acupuncturist | 61 E 75th St Fl 2, New York, NY 10021-2739 | 2012-10-16 |
Street Address |
2100 ERWIN RD |
City | DURHAM |
State | NC |
Zip Code | 27705-3941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215930417 | Raymond C Barfield | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2005-05-23 |
1477058584 | Natalie Louise Tammen | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2018-03-29 |
1205350691 | Deema Elchoufi | Student in an Organized Health Care Education/Training Program | 2100 Erwin Rd, Durham, NC 27705-3941 | 2017-07-28 |
1164965372 | Duke Family Medicine | Preferred Provider Organization | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-11-21 |
1306391560 | Jesslyn Patrice Doody | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-08-17 |
1134579147 | Tyler Henderson Knowles | Nurse Anesthetist, Certified Registered | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-21 |
1962852665 | David Tallon | Nurse Practitioner | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-14 |
1780079608 | Jeanna J Bateson | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705 | 2015-03-30 |
1184034431 | Walter F Wiggins | Radiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2014-05-07 |
1629499108 | Joshua Harris | Social Worker | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-12-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
Find all providers in zip 27705 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134547201 | Zachary J Reitman | Radiology | 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 | 2014-04-04 |
1861810756 | Susan Gr Mcduff | Radiology | Dumc 20 Duke Medical Center, Durham, NC 27710-0001 | 2014-03-28 |
1164552865 | Christopher Ryan Kelsey | Radiology | Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 | 2007-03-06 |
1619006681 | Bridget Fey Koontz | Radiology | Duke University Dept of Radiation Oncology, Dumc Box 3085, Durham, NC 27710-0001 | 2007-03-05 |
1982688370 | William Robert Lee | Radiology | 20 Duke Medicine Circle, Duke Medical Center Department of Radiation Oncology, Durham, NC 27710 | 2005-11-30 |
1548607021 | Daphna Yael Spiegel | Radiology | 2301 Erwin Rd, Duke University Hospital, Durham, NC 27705 | 2013-05-24 |
1164798336 | Yvonne Marie Mowery | Radiology | 30 Duke Medicine Cir, Dumc, Box 31085, Durham, NC 27710-3000 | 2012-04-01 |
1629369582 | Jordan Anthony Torok | Radiology | 2301 Erwin Road, Durham, NC 27710 | 2011-04-27 |
1003138868 | Colin E. Champ | Radiology | 2301 Erwin Rd, Durham, NC 27705-4699 | 2010-02-22 |
1861724627 | Karen Jean Allen | Radiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2010-02-04 |
Find all providers in DURHAM |
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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.