TIMOTHY J KIM (NPI# 1184813123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184813123 |
| Entity Type | Individual |
| Full Name | TIMOTHY J KIM |
| Credential | M.D. |
| Practice Address |
12902 Magnolia Dr Tampa FL 33612 |
| Practice Telephone | 8137452226 |
| Mailing Telephone | 8137452226 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2013-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME114921 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN11143 | FL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295176121 | Timothy Kim | Pharmacist | 162 Wildey, Tarrytown, NY 10591 | 2013-07-08 |
| 1265532477 | Timothy S Kim | Dentist | 1 Lincoln Highway, Suite 6, Edison, NJ 08820 | 2006-09-25 |
| 1609482587 | Timothy Y Kim | Dentist | 3230 Sepulveda Blvd, Torrance, CA 90505-2719 | 2020-09-16 |
| 1982263299 | Timothy Suyong Kim | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, Office of Education N715 Department of Medicine, Pittsburgh, PA 15213 | 2019-06-10 |
| 1972069276 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-02-12 |
| 1023588324 | Timothy Yushin Kim | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-11-29 |
| 1245725381 | Timothy Kim | Dentist | 1560 W Lacey Blvd Ste 107, Hanford, CA 93230-3587 | 2018-06-29 |
| 1720572399 | Timothy J Kim | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2018-06-18 |
| 1003331802 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2017-08-14 |
| 1033645171 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2017-05-11 |
| Street Address |
12902 MAGNOLIA DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043280142 | George Douglas Letson | Specialist | 12902 Magnolia Dr, Suite 5036, Tampa, FL 33612-9416 | 2006-01-23 |
| 1497211536 | Candice Monique Hallmon | Nurse Practitioner | 12902 Magnolia Dr, Fob 2, Tampa, FL 33612 | 2019-02-13 |
| 1184961864 | Ronie E Schmidt | Pharmacist | 12902 Magnolia Dr, Tampa, FL 33612-9416 | 2013-01-15 |
| 1760745913 | Rachel Kathleen Lundberg | Physician Assistant | 12902 Magnolia Dr, Tampa, FL 33612 | 2012-06-22 |
| 1821222480 | Julian A Sanchez | Surgery | 12902 Magnolia Dr, Fob-2 Gi Program, Tampa, FL 33612 | 2009-05-12 |
| 1508023714 | Bijal Shah | Internal Medicine | 12902 Magnolia Dr, Tampa, FL 33612 | 2008-05-16 |
| 1508032715 | Cristina M Odonoghue | Surgery | 12902 Magnolia Dr, Tampa, FL 33612 | 2008-05-07 |
| 1700055035 | Heather C Bridge | Physician Assistant | 12902 Magnolia Dr, Srb4, Tampa, FL 33612 | 2008-02-20 |
| 1205028867 | Jacques-pierre Fontaine | Surgery | 12902 Magnolia Dr, Tampa, FL 33612-9416 | 2007-08-16 |
| 1003938366 | Theresa A Boyle | Pathology | 12902 Magnolia Dr, Moffitt Cancer Center, Tampa, FL 33612 | 2007-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124468632 | Raul E. Fernandez-crespo | Urology | 2 Tampa General Circle, Stc6, Department of Urology, Tampa, FL 33606 | 2013-06-28 |
| 1013208057 | Mohit Sirohi | Urology | 1 Davis Blvd., #604, Tampa, FL 33606 | 2011-04-25 |
| 1629170535 | James Etheridge | Urology | 17718 Esprit Dr, Tampa, FL 33647-2507 | 2006-09-01 |
| 1669481628 | Raoul Radu Salup | Urology | 13000 Bruce B Downs Boulevard, James A. Haley Veterans Hospital, Tampa, FL 33612 | 2006-08-07 |
| 1003840091 | New Tampa Urology P A | Urology | 5332 Primrose Lake Cir, Tampa, FL 33647-3589 | 2006-07-10 |
| 1588695894 | Rafael E Carrion | Urology | 2 Tampa General Circle, Stc 5th Floor, Tampa, FL 33606-3603 | 2006-07-05 |
| 1205872710 | Tampa Urology Pa | Urology | 1209 W Swann Ave, Tampa, FL 33606-2639 | 2006-06-22 |
| 1245275692 | Leffie Mahon Carlton IIi | Urology | 602 S Audubon Street, Tampa, FL 33609 | 2006-06-19 |
| 1043269970 | Tod Joseph Fusia | Urology | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2006-05-08 |
| 1760457220 | Novelle Dt Kirwan | Urology | 4801 N Howard Ave, Tampa, FL 33603-1411 | 2006-02-20 |
| Find all providers in TAMPA | ||||
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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.