CHUL H. KIM (NPI# 1114036282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114036282 |
| Entity Type | Individual |
| Full Name | CHUL H. KIM |
| Credential | M.D. |
| Practice Address |
223 Cibeque Circle Road San Carlos AZ 85550 |
| Mailing Address |
Po Box 208 San Carlos AZ 85550-0208 |
| Practice Telephone | 9284757219 |
| Practice Fax Number | 9284757370 |
| Mailing Telephone | 9284757219 |
| Mailing Fax Number | 9284757370 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D18717 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 888935 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972664845 | Chul Ki Kim | Dentist | 1948 W Montrose Ave, Chicago, IL 60613-1035 | 2006-12-13 |
| 1841586302 | Chul Kim | Internal Medicine | 3970 Reservoir Rd Nw, 2nd Floor Lombardi, Pod B Hallway, Rm 417, Washington, DC 20007 | 2011-06-23 |
| 1528223492 | Chul Kim | Podiatrist | 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4909 | 2008-07-21 |
| 1851464184 | Chul Kim | Obstetrics & Gynecology | 201 North Washington Street, Falls Church, VA 22046-4518 | 2006-11-16 |
| 1750465407 | Chul Wha Kim | Anesthesiology | 10730 Main Street, Fairfax, VA 22030 | 2006-10-25 |
| Street Address |
223 CIBEQUE CIRCLE ROAD |
| City | SAN CARLOS |
| State | AZ |
| Zip Code | 85550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659480614 | Karen Sue Heath | Family Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1326165234 | Linda C Clark | Registered Nurse | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2007-03-23 |
| 1629109178 | Sally A Aday | Dietitian, Registered | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2007-03-08 |
| 1225163215 | Jack H. Turpen | Dentist | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2007-02-22 |
| 1356453278 | Jeffrey D Richardson | Physical Therapist | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2006-08-31 |
| 1306955596 | Bruce M. Bilder | Emergency Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1407965619 | Theresa A. Covello | Family Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1811006059 | Michael E. Hudson | Internal Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1518076595 | Bridget Raquel Swanberg-austin | Dentist | 223 Cibeque Circle Road, San Carlos, AZ 85550 | 2006-08-30 |
| 1043329188 | Sharon A Wattley | Family Medicine | 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1568871762 | Aleksandra J Slaski | Counselor | Building 5 San Carlos Avenue, San Carlos, AZ 85550 | 2014-08-13 |
| 1619237377 | Justin Scott Phelps | Psychologist | 5 San Carlos Blvd., San Carlos, AZ 85550 | 2012-05-29 |
| 1669752622 | Sasha Melisa Latonis | Pharmacist | 208 Cibecue Cir, San Carlos, AZ 85550 | 2011-08-23 |
| 1699060343 | Paul Ray Delgado | Pharmacist | 208 Cibique Circle, San Carlos, AZ 85550 | 2011-06-10 |
| 1639481815 | Carlos Duarte | Family Medicine | 1 Vassar Dr Ne, Usphs Indian Hospital, San Carlos, AZ 85550 | 2010-07-05 |
| 1225355290 | Robert Reed Henley | Psychologist | 5 San Carlos Avenue, San Carlos, AZ 85550 | 2010-04-29 |
| 1912234576 | John Paul Hartman | Naturopath | 238 Seneca, San Carlos, AZ 85550 | 2009-11-03 |
| 1609015148 | Pamela Kay Kloote | Pharmacist | 208 Cibeque Circle, San Carlos, AZ 85550 | 2009-02-06 |
| 1689868317 | Jacqueline Ann Tutt | Licensed Practical Nurse | Skill Center Rd., San Carlos, AZ 85550 | 2007-09-06 |
| Find all providers in zip 85550 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588807390 | Susan A Fong | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2009-04-08 |
| 1194977249 | Nicole Susan Ketterman | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2008-10-21 |
| 1407048598 | Aaron Michael Nayfack | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2007-08-14 |
| 1790829216 | Jeanne Chiu | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2007-02-16 |
| 1225104441 | Aimee Leigh Harris | Pediatrics | 301 Industrial Rd, Level 1, San Carlos, CA 94070-2603 | 2006-11-28 |
| 1003983032 | Sarah Cheyette | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-11-28 |
| 1912073339 | Sawsan Kara | Pediatrics | 301 Industrial Rd, Level 1, San Carlos, CA 94070-2603 | 2006-11-28 |
| 1205901691 | Neel Dipak Patel | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-11-21 |
| 1033299656 | Naveen Mahmood | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-10-17 |
| 1588744056 | Nathalie Lynch | Pediatrics | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-10-17 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 85550 |
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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.