CHONG HWAN KIM (NPI# 1114972825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114972825 |
| Entity Type | Individual |
| Full Name | CHONG HWAN KIM |
| Credential | MD |
| Practice Address |
101 E Olney Ave Suite 400 Philadelphia PA 19120-2421 |
| Mailing Address |
5501 Old York Rd Philadelphia PA 19141-3018 |
| Practice Telephone | 2154567000 |
| Practice Fax Number | 2152542599 |
| Mailing Telephone | 2154568103 |
| Mailing Fax Number | 2152542599 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD425893 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD425893 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997013 | Chong Koo Kim | Acupuncturist | 420 Highland Ave Apt 10, Palisades Park, NJ 07650-1384 | 2018-09-26 |
| 1699018150 | Chong Hyon Kim | Acupuncturist | 954 5th Ave, Los Angeles, CA 90019-2019 | 2013-04-03 |
| 1982941209 | Chong Yub Kim | Acupuncturist | 2772 Sepulveda Blvd, #28, Torrance, CA 90505-2952 | 2013-01-07 |
| 1073826574 | Chong B Kim | Pediatrics | 3585 Woodfield Pl, Columbus, IN 47203-1202 | 2010-07-26 |
| 1447575907 | Chong Bok Kim | Pharmacist | 778 Klondike Ave, Staten Island, NY 10314-4824 | 2010-03-28 |
| 1538188347 | Chong Sang Kim | Psychiatry & Neurology | 3010 W Orange Ave Ste 203, Anaheim, CA 92804-3171 | 2006-07-19 |
| 1528034485 | Chong Un Kim | Internal Medicine | 23430 Hawthorne Blvd Bldg 3, Suite 325, Torrance, CA 90505-4720 | 2006-02-28 |
| 1447711346 | Chong Yon Kim | Dentist | 935 Riverdale St, West Springfield, MA 01089-4656 | 2019-03-25 |
| 1417452715 | Chong Kim | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2018-03-28 |
| 1669895850 | Chong Kim | Pharmacist | 670 S Western Ave, Los Angeles, CA 90005-3024 | 2014-01-24 |
| Street Address |
101 E OLNEY AVE SUITE 400 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19120-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134193329 | Julie Massey | Pediatrics | 101 E Olney Ave, Suite C5, Philadelphia, PA 19120 | 2006-02-14 |
| 1063922359 | Einstein Community Health Associates, Inc | Family Medicine | 101 E Olney Ave, Philadelphia, PA 19120-2421 | 2017-10-02 |
| 1326446394 | Grace Adult Day Health Care Inc. | Clinic/Center | 101 E Olney Ave, Philadelphia, PA 19120-2421 | 2014-12-08 |
| 1619381308 | Einstein Community Health Associates, Inc. | Nurse Practitioner | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2014-06-20 |
| 1003255654 | Mauricio Jalife Bucay | Internal Medicine | 101 E Olney Ave, Suite C-5, Philadelphia, PA 19120-2421 | 2013-06-17 |
| 1346500873 | Job Rojas | Pediatrics | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2012-05-17 |
| 1154694958 | Sara C Morrison | Nurse Practitioner | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2012-02-10 |
| 1447461389 | John Michael Kowalski II | Emergency Medicine | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2007-05-24 |
| 1881808343 | Stanley Yoo | Physical Medicine & Rehabilitation | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2007-05-10 |
| 1629293089 | Maria Emilia Abadilla Florendo | Obstetrics & Gynecology | 101 E Olney Ave, Suite 400, Philadelphia, PA 19120-2421 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364615 | Jane Clay Zakrzewski | Social Worker | Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 | 2019-03-12 |
| 1861964264 | Yi Ty Zhang | Nurse Practitioner | 101 E Olney Ave Ste C5, Philadelphia, PA 19120 | 2018-12-23 |
| 1447799770 | John Beecroft | Counselor | 4943 North 5th Street, Philadelphia, PA 19120 | 2017-02-20 |
| 1063869915 | Syed Naved Zahid | Dentist | 5675 Nth Front St., Philadelphia, PA 19120 | 2016-05-20 |
| 1447619838 | Danielle Green | Nurse Practitioner | 5846 North 4th St, Philadelphia, PA 19120 | 2016-02-15 |
| 1134544265 | Nt&t Corporation | Pharmacy | 439 West Chew Ave 1st F, Philadelphia, PA 19120 | 2014-02-26 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1619261682 | Advanced Family Dentistry, P.C. | Dentist | 6100-02 5th Street, Storefront, Philadelphia, PA 19120 | 2011-06-07 |
| 1346539061 | Capri N. Burt | Prosthetist | 5962 N. 3rd Street, Philadelphia, PA 19120 | 2011-04-04 |
| 1063719334 | James A. Brown | Prosthetist | 5962 N. 3rd St., Phila, PA 19120 | 2011-02-22 |
| Find all providers in zip 19120 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499148 | Tower Drexel Academic Medical Group LLC | Psychiatry & Neurology | 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 | 2019-10-25 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1073033874 | Sarah Miller | Psychiatry & Neurology | 100 E Lehigh Ave Ste 305b, Philadelphia, PA 19125-1012 | 2017-06-22 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1104354778 | Julian Camilo Artunduaga | Psychiatry & Neurology | 100 E Lehigh Ave Bldg Suit105, Philadelphia, PA 19125-1012 | 2017-05-26 |
| 1538691340 | Lea Fowler Hecht | Psychiatry & Neurology | 3207 Baring St, Apt. 2, Philadelphia, PA 19104-2510 | 2017-03-30 |
| 1962941021 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 808 S Swanson St, Philadelphia, PA 19147-4330 | 2017-02-21 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1649620089 | Matthew Parker | Psychiatry & Neurology | 2040 Market St Apt 1121, Philadelphia, PA 19103-3369 | 2016-06-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19120 |
Please comment or provide details below to improve the information on CHONG HWAN KIM.
| 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.