DR. PETER YEON-SEONG KIM (NPI# 1164603965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164603965 |
| Entity Type | Individual |
| Full Name | DR. PETER YEON-SEONG KIM |
| Credential | M.D. |
| Practice Address |
1400 Pressler, Suite Fct 11.5012 Md Anderson Cancer - Pickens Academic Tower Houston TX 77030 |
| Mailing Address |
1400 Pressler St Houston TX 77030-3722 |
| Practice Telephone | 7137926242 |
| Mailing Telephone | 7137926242 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA08260900 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
N5778 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 216204201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295298891 | Peter Y Kim | Specialist | 1380 Howard St # 201c, San Francisco, CA 94103-2638 | 2019-04-10 |
| 1922518208 | Peter Kim | Dentist | 15737 E Prentice Dr, Centennial, CO 80015-4264 | 2017-10-02 |
| 1336593391 | Peter Eugene Kim | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Radiology, Albany, NY 12208 | 2016-04-15 |
| 1821475369 | Peter Eusuk Kim | Dentist | 4649 Loma Del Sur Dr, Apt 3307, El Paso, TX 79934-3350 | 2015-05-05 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1184915761 | Peter Hwa Kim | Acupuncturist | 801 N Tustin Ave Ste 501, Santa Ana, CA 92705-3609 | 2011-04-29 |
| 1821257528 | Peter Simon Kim | Podiatrist | 5220 Pacific Concourse Dr, Ste 120, Los Angeles, CA 90045-6244 | 2008-06-06 |
| 1972725844 | Peter M Kim | Dentist | 2415 G St, Bakersfield, CA 93301-2809 | 2007-05-02 |
| 1053454983 | Peter Sang Kim | Acupuncturist | 929 N Western Ave, Los Angeles, CA 90029-3215 | 2007-02-14 |
| 1114002953 | Peter Kim | Dentist | 1109 West Park Ave, Libertyville, IL 60048 | 2006-10-26 |
| Street Address |
1400 PRESSLER, SUITE FCT 11.5012 MD ANDERSON CANCER - PICKENS ACADEMIC TOWER |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245856087 | Texas Heart Medical Group | Internal Medicine | 6770 Bertner Avenue, Houston, TX 77030-2604 | 2020-06-17 |
| 1053764134 | Donald Trillos Md Pa | Internal Medicine | 13111 East Fwy Ste 217, Houston, TX 77015-5819 | 2016-07-13 |
| 1023362233 | Marlos Ramalho Fernandes | Internal Medicine | 6720 Bertner, Mc 1-133, Houston, TX 77030 | 2012-11-09 |
| 1093079659 | Deborah Meyers Md Pllc | Internal Medicine | 6770 Bertner St # C355k, Houston, TX 77030-2604 | 2012-06-28 |
| 1801154810 | Amanda Trang | Internal Medicine | 11920 Astoria Blvd Ste 400, Houston, TX 77089 | 2012-04-26 |
| 1275890329 | John Oliver Tyler IIi | Internal Medicine | 6624 Fannin St Ste 1990, Houston, TX 77030-2330 | 2012-04-13 |
| 1023301215 | Reehan Shahzad | Internal Medicine | 20207 Chasewood Park Dr., Suite 305, Houston, TX 77070-1441 | 2011-05-19 |
| 1477843290 | Robert Alan Aertker | Internal Medicine | 6720 Bertner Ave # Mc1-133, Houston, TX 77030-2604 | 2011-04-13 |
| 1720388069 | Michael Judd Davis | Internal Medicine | 4625 Southwest Fwy, Suite 142, Houston, TX 77027-7100 | 2010-11-02 |
| 1740599620 | Humble Cardiovascular Services,pllc | Internal Medicine | 11510 N Lou Al Dr, Houston, TX 77024-2705 | 2010-09-27 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on DR. PETER YEON-SEONG 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.