TAE HO KIM (NPI# 1164488508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164488508 |
| Entity Type | Individual |
| Full Name | TAE HO KIM |
| Credential | MD |
| Practice Address |
115 Washington Pl Unit B New York NY 10014-6803 |
| Practice Telephone | 2127068738 |
| Practice Fax Number | 2127068743 |
| Mailing Telephone | 2127068738 |
| Mailing Fax Number | 2127068743 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
2384301 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02729642 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938561 | Tae Kim | Social Worker | Bld S370, Camp Humphreys Behavioral Health Clinic, Apo, AP 96251-0016 | 2018-10-17 |
| 1962906487 | Tae Y Kim | Student in an Organized Health Care Education/Training Program | 4020 Olmsted Ave, Los Angeles, CA 90008-2628 | 2018-03-20 |
| 1831603067 | Tae Kyong Kim | Chiropractor | 3740 Colony Dr Ste 150, San Antonio, TX 78230-2290 | 2017-11-27 |
| 1710400296 | Tae Hee Kim | Acupuncturist | 520 S Virgil Ave Ste 503, Los Angeles, CA 90020-1452 | 2017-07-17 |
| 1427579531 | Tae Kim | Case Manager/Care Coordinator | 5837 192nd St Fl 2, Fresh Meadows, NY 11365-2237 | 2017-06-28 |
| 1164876561 | Tae Sik Kim | Acupuncturist | 3701 50th St W, Rosamond, CA 93560-6725 | 2016-04-21 |
| 1891949368 | Tae Jung Kim | Specialist | 6123 229th St Fl 2, Oakland Gardens, NY 11364-2422 | 2008-11-11 |
| 1568629889 | Tae Kyu Kim | Family Medicine | 275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238 | 2008-05-22 |
| 1174734719 | Tae Kim | Acupuncturist | 2040 Pacific Coast Hwy Ste Q, Lomita, CA 90717-2660 | 2007-05-25 |
| 1568512085 | Tae Kun Kim | Chiropractor | 3620 W Pioneer Dr Ste 109, Irving, TX 75061-1515 | 2007-01-10 |
| Street Address |
115 WASHINGTON PL UNIT B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10014-6803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790840502 | Robert M. Isaacs | Social Worker | 115 Washington Pl, Suite 4, New York, NY 10014-6803 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142446 | Marco A Campello | Physical Therapist | 63 Downing Street, New York, NY 10014 | 2020-01-02 |
| 1093271710 | Little Smiles Pediatric Dentistry, Pllc | Dentist | 535 Hudson Street 1c, Apt #3g, New York, NY 10014 | 2019-02-19 |
| 1528539525 | David R Schoenberger | Psychoanalyst | 27 West 12th Street, Apt 1-c, New York, NY 10014 | 2018-12-17 |
| 1932670270 | Paul Scoles | Orthopaedic Surgery | 27o W 11th, 6f, New York, NY 10014 | 2018-12-16 |
| 1831633965 | Carol Bonhomme | Speech-Language Pathologist | 250 West Houston Street, 721m, New York, NY 10014 | 2016-12-08 |
| 1346783016 | Dawn Julie Adamousky | Speech-Language Pathologist | 450 Hudson Street, New York, NY 10014 | 2016-11-29 |
| 1578922472 | Samriti Goyal | Dentist | 44 Perry St Apt 5r, New York, NY 10014 | 2016-02-19 |
| 1255734471 | Chavie E Lichtenberg | Counselor | 165 Christopher St Apt 4n, New York, NY 10014 | 2014-10-01 |
| 1699015180 | Meghan C Ward | Counselor | 27 Christopher Street, New York, NY 10014 | 2013-02-21 |
| 1730467739 | Rosy Charles | Licensed Practical Nurse | 201 Varick Street, New York, NY 10014 | 2011-07-26 |
| Find all providers in zip 10014 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356751937 | Philip Lotfi | Surgery | 630 1st Ave Apt 33g, New York, NY 10016-4234 | 2014-05-05 |
| 1801237516 | Marie-eve Pepin | Surgery | 1233 York Ave Apt 20o, New York, NY 10065-6342 | 2013-07-10 |
| 1851661235 | Robert M. Freund, M.d., P.C. | Surgery | 170 E End Ave, Suites Cs, New York, NY 10128-7600 | 2012-01-03 |
| 1497902597 | Colleen M Mccarthy | Surgery | 1275 York Ave Rm Mri-1007, New York, NY 10065-6007 | 2008-08-20 |
| 1043472368 | Nilay R Shah | Surgery | 330 E 38th St Apt 20o, New York, NY 10016-0358 | 2008-06-27 |
| 1942467543 | Peter William Henderson | Surgery | 10 Union Sq E Frnt 2l, New York, NY 10003-3314 | 2008-05-21 |
| 1790950343 | Michael E Jones Md PC | Surgery | 120 East 61st Street, New York, NY 10021 | 2008-04-24 |
| 1679755334 | Craig Andrew Baldenhofer | Surgery | 115 W 27th St Ste 1001, New York, NY 10001-6217 | 2007-12-04 |
| 1942415682 | Reconstructive Surgery Offices, P.C. | Surgery | 1001 Fifth Ave, New York, NY 10028 | 2007-05-14 |
| 1518182252 | Pamela Renee Lipkin | Surgery | 905 Fifth Ave., Suite 1c, New York, NY 10021 | 2007-04-16 |
| Find all providers in NEW YORK | ||||
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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.