MI YONG KIM (NPI# 1154435063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154435063 |
| Entity Type | Individual |
| Full Name | MI YONG KIM |
| Credential | MD |
| Practice Address |
10400 Eaton Place Ste 515 Fairfax VA 22030 |
| Practice Telephone | 7036914141 |
| Practice Fax Number | 7035915663 |
| Mailing Telephone | 7036914141 |
| Mailing Fax Number | 7035915663 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
0101023297 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
10400 EATON PLACE STE 515 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346589587 | Open Bridges Counseling, LLC | Social Worker | 10400 Eaton Place, Ste 200, Fairfax, VA 22030 | 2013-02-07 |
| 1093865271 | Patricia Ann Morgan | Social Worker | 10400 Eaton Place, Suite 110, Fairfax, VA 22030-3419 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164638490 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 8081 Innovation Park Dr Ste 775, Fairfax, VA 22031-4867 | 2007-05-15 |
| 1023237997 | Shawana Mufti | Obstetrics & Gynecology | 3930 Pender Dr, Suite 60, Fairfax, VA 22030-2917 | 2007-04-25 |
| 1497812184 | Meg Elizabeth Ryan | Obstetrics & Gynecology | 8316 Arlington Blvd Ste 610, Fairfax, VA 22031-5204 | 2007-01-02 |
| 1275520363 | Joanne Herrman | Obstetrics & Gynecology | 8324 Professional Hill Dr, Fairfax, VA 22031-4611 | 2005-10-04 |
| 1942868500 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 3580 Joseph Siewick Dr Ste 403, Fairfax, VA 22033-1764 | 2019-05-30 |
| 1144631276 | Obgyn of Virginia, LLC | Obstetrics & Gynecology | 3930 Pender Dr, Suite 60, Fairfax, VA 22030-0985 | 2014-05-12 |
| 1952517997 | Daniel J Noonan | Obstetrics & Gynecology | 3915 Old Lee Hwy, Unit 21c, Fairfax, VA 22030-2432 | 2007-05-15 |
| 1447266572 | Margaret Davis | Obstetrics & Gynecology | 8550 Arlington Blvd, #201, Fairfax, VA 22031-4634 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530435 | Center for Endometriosis and Advanced Pelvic Surgery | Obstetrics & Gynecology | 6801 Whittier Ave Ste 301, Mc Lean, VA 22101-4549 | 2020-05-20 |
| 1891217857 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2017-07-12 |
| 1285093070 | Loudoun Medical Group PC | Obstetrics & Gynecology | 8292 Old Courthouse Rd, Suite C, Vienna, VA 22182-3834 | 2016-02-22 |
| 1730589458 | Drs Moore & Stockstill PC | Obstetrics & Gynecology | 5104 Bernard Dr, Suite 301, Roanoke, VA 24018-4349 | 2014-08-29 |
| 1649694993 | Carol Ciofalo | Obstetrics & Gynecology | 5209 11th Rd N, Arlington, VA 22205-2424 | 2014-02-06 |
| 1063754554 | Westhampton Health and Wellness LLC | Obstetrics & Gynecology | 2000 Bremo Rd # 205a, Richmond, VA 23226-2440 | 2013-03-22 |
| 1316212889 | Lisa Ruth Himmelstein | Obstetrics & Gynecology | 2515 Londonderry Rd, Alexandria, VA 22308-2332 | 2012-03-17 |
| 1265700769 | Jerome Frank Strauss IIi | Obstetrics & Gynecology | 2805 Monument Ave Apt 3, Richmond, VA 23221-1737 | 2011-12-12 |
| 1548592397 | Womens Health and Wellness LLC | Obstetrics & Gynecology | 6506 Main St, Gloucester, VA 23061-6103 | 2010-02-04 |
| 1467686907 | Millennium Gynecology P.l.l.c. | Obstetrics & Gynecology | 3359 Roundtree Estates Ct, Falls Church, VA 22042-3550 | 2009-05-12 |
| Find all providers with the same taxonomy | ||||
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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.