SOPHIA JIHAE KIM (NPI# 1154785749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154785749 |
| Entity Type | Individual |
| Full Name | SOPHIA JIHAE KIM |
| Credential | M.D. |
| Practice Address |
1615 Delaware St Longview WA 98632-2367 |
| Mailing Address |
4800 Alberta Ave El Paso TX 79905-2709 |
| Practice Telephone | 3604142385 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2019-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60935101 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4800 Alberta Ave, El Paso, TX 799052709 | 9152158000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184744690 | Sophia H Kim | Pediatrics | Emory Childrens Ctr, 2015 Uppergate Drive Suite 326, Atlanta, GA 30322-0001 | 2007-03-29 |
| 1831725548 | Sophia Kim | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-03-14 |
| 1285154922 | Sophia Kim | Nurse Practitioner | 180 Engle St, Englewood, NJ 07631-2507 | 2017-06-23 |
| 1568835643 | Sophia Seohee Kim | Pharmacist | 2240 Sepulveda Blvd, Torrance, CA 90501-5301 | 2015-11-11 |
| 1225429293 | Sophia Kim | Acupuncturist | 11231 Richmond Ave, Suite D 110, Houston, TX 77082-6656 | 2015-02-12 |
| 1982015996 | Sophia J. Kim | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2014-05-13 |
| 1689953291 | Sophia Kim | Social Worker | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2011-08-12 |
| 1386733129 | Sophia Hyang Kim | Internal Medicine | 514 Saint Peter St, 250, Saint Paul, MN 55102-1001 | 2006-10-12 |
| 1801816467 | Sophia Ji Hye Kim | Internal Medicine | 795 Willow Rd, 118mpd, Menlo Park, CA 94025-2539 | 2006-07-19 |
| Street Address |
1615 DELAWARE ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264252 | Lan N Pham | Internal Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2005-06-09 |
| 1629681127 | Cole Taylor Dawson | Pharmacist | 1615 Delaware St, Longview, WA 98632-2367 | 2020-08-25 |
| 1760008908 | Tanya Neely | Registered Nurse | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-23 |
| 1376167254 | Gareth John Penta | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-05 |
| 1982227013 | Crystal Ann Florek | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-05-22 |
| 1194356600 | Tiffany Terry | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-02-03 |
| 1285274167 | Jason Loren Whitney | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-01-08 |
| 1851857676 | Garrett Michael Alan Harrison | Case Manager/Care Coordinator | 1615 Delaware St, Longview, WA 98632-2367 | 2019-02-17 |
| 1184192189 | Katie Johnson | Clinical Nurse Specialist | 1615 Delaware St, Longview, WA 98632-2367 | 2018-11-07 |
| 1750864187 | Brina Rayne Moh | Physician Assistant | 1615 Delaware St, Longview, WA 98632-2367 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891337747 | Sheila R Brinkman | Family Medicine | 203 Ithaca Dr, Longview, TX 75604-0610 | 2019-10-11 |
| 1750816559 | Elizabeth Brouillette | Family Medicine | 1103 Regina St, Longview, TX 75605-1527 | 2017-04-29 |
| 1649416108 | Gregory N Payne, Md, Pa | Family Medicine | 107 Prairie Ln, Longview, TX 75605-7347 | 2009-01-05 |
| 1912167909 | Lewis A Browne Md Pa | Family Medicine | 3204 N 4th St, Longview, TX 75605-5143 | 2008-06-12 |
| 1134206303 | George Kenneth Marshall | Family Medicine | 717 N 4th St, Longview, TX 75601-5438 | 2006-11-01 |
| 1053421586 | Joseph Leslie Davis | Family Medicine | 2807 36th Ave, Longview, WA 98632-5309 | 2006-08-30 |
| 1043224223 | John Layton Wright Jr. | Family Medicine | 802 Medical Dr Ste 401, Longview, TX 75605-5206 | 2006-07-27 |
| 1619997319 | Ramon G. Villafria | Family Medicine | 1107 E. Marshall Ave., Longview, TX 75601 | 2006-07-19 |
| 1790704377 | Lewis A Browne | Family Medicine | 3204 N Fourth St, Longview, TX 75605-5110 | 2006-07-18 |
| 1417924473 | Donald A Pierson | Family Medicine | 805 Medical Circle Dr., Longview, TX 75605 | 2006-03-08 |
| Find all providers in LONGVIEW | ||||
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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.