SAM EUN KIM (NPI# 1093987885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093987885 |
| Entity Type | Individual |
| Full Name | SAM EUN KIM |
| Credential | M.D. |
| Practice Address |
8050 E Highway 191 Ste 200 Odessa TX 79765-8613 |
| Mailing Address |
Po Box 2129 Odessa TX 79760-2129 |
| Practice Telephone | 4323375411 |
| Practice Fax Number | 4325615014 |
| Mailing Telephone | 4323375411 |
| Mailing Fax Number | 4325615014 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | N0891 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 199366903 | 05 |
| Street Address |
8050 E HIGHWAY 191 STE 200 |
| City | ODESSA |
| State | TX |
| Zip Code | 79765-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215932 | Augusto C Sepulveda | Internal Medicine | 8050 E Highway 191, Suite 200, Odessa, TX 79765-8613 | 2005-06-16 |
| 1063962355 | Emily Denise Gully | Nurse Practitioner | 8050 E Highway 191, Suite 212, Odessa, TX 79765-8613 | 2016-10-11 |
| 1134585532 | Catherine Eaton | Nurse Practitioner | 8050 E Highway 191, Odessa, TX 79765-8613 | 2016-01-14 |
| 1144696436 | Kacee Dunavan | Nurse Practitioner | 8050 E Highway 191, Odessa, TX 79765-8613 | 2015-08-20 |
| 1518350438 | Cynthia Wall, Psyd, Pllc | Psychologist | 8050 E Highway 191, Suite 206, Odessa, TX 79765-8613 | 2015-03-17 |
| 1063859189 | Jorge G. Alamo | Family Medicine | 8050 E Highway 191, Suite 104, Odessa, TX 79765-8613 | 2013-05-30 |
| 1770750440 | Mch Professional Care Orthopedics | Orthopaedic Surgery | 8050 E Highway 191, Suite 104a, Odessa, TX 79765-8607 | 2008-05-13 |
| 1093935975 | Alim Mirza Ladha | Neurological Surgery | 8050 E Highway 191, Ste 203, Odessa, TX 79765-8615 | 2007-04-26 |
| 1760511315 | West Texas Neurosurgery Pa | Neurological Surgery | 8050 E Highway 191, Suite 212, Odessa, TX 79765-8613 | 2007-03-02 |
| 1356416887 | Daniel John O'hearn | Internal Medicine | 8050 E Highway 191, Suite 200, Odessa, TX 79765-8607 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699982827 | James Joseph Kloer | Dentist | 301 S. E. Loop 338, Odessa, TX 79765 | 2007-05-17 |
| 1417170036 | Jeremy A. Denman, D.d.s., P.C. | Dentist | 8151 Dorado Dr., Odessa, TX 79765 | 2007-04-11 |
| 1992834261 | Hillary Elizabeth Brunner | Podiatrist | 2903 Billy Hext Road, Odessa, TX 79765 | 2007-03-05 |
| 1710032388 | Jennifer Douglas | Speech-Language Pathologist | 7009 Stonehenge Rd, Odessa, TX 79765 | 2007-01-24 |
| 1558319384 | Eyes of Texas, LLP | Ophthalmology | 3527 B1 Billy Hext Road, Odessa, TX 79765 | 2006-05-04 |
| 1740283019 | Kris Howard | Dermatology | 8141 Dorado Drive, Odessa, TX 79765 | 2005-05-31 |
| 1962743203 | Basin Podiatry P A | Podiatrist | 2903 Billy Hext Road, Odessa, TX 79765 | 2013-03-12 |
| 1114540986 | Jaida Thompson | Licensed Practical Nurse | 9100 Andrews Hwy Apt 517, Odessa, TX 79765-1324 | 2020-05-27 |
| 1780297200 | Evithner Mendoza Ruiz | Registered Nurse | 9100 Andrews Hwy, Odessa, TX 79765-1337 | 2020-08-25 |
| 1588931984 | Sanket Patel | Pharmacist | 9212 Lamar Ave, Odessa, TX 79765-1452 | 2011-11-30 |
| Find all providers in zip 79765 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1487262267 | Vedesh Kumar Babu | Internal Medicine | 701 W 5th St Ste 3106, Odessa, TX 79763-4206 | 2020-07-17 |
| 1396391058 | William S. Wood | Internal Medicine | 14051 Pointe Anne Dr, Odessa, FL 33556-4301 | 2019-08-16 |
| 1407416787 | Saima Mahmood | Internal Medicine | 701 W 5th St Ste No1229, Odessa, TX 79763-4206 | 2019-06-18 |
| 1548657661 | Gabriela Mroueh | Internal Medicine | 8050 E Highway 191 Ste 213, Odessa, TX 79765-8615 | 2015-04-16 |
| 1568600104 | Rudy Mayoz | Internal Medicine | 16206 Hoylake Dr, Odessa, FL 33556-2875 | 2009-02-03 |
| 1366625683 | Sreedevi Godey | Internal Medicine | 840 W Clements, Odessa, TX 79761 | 2007-12-10 |
| 1568656940 | Andrew L Rutherford | Internal Medicine | 16404 Swan View Cir, Odessa, FL 33556-4938 | 2007-08-29 |
| 1902009939 | Louise Nathalie De Boer | Internal Medicine | 4101 E 42nd St Ste J-14, Odessa, TX 79762-7239 | 2007-06-07 |
| 1386782266 | Joel L Adams | Internal Medicine | 500 N Washington Ave Ste 100, Odessa, TX 79761-4441 | 2007-02-02 |
| 1740369354 | Kendall H. Wong | Internal Medicine | 318 N Alleghaney, 300, Odessa, TX 79761 | 2006-11-03 |
| Find all providers in ODESSA | ||||
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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.