PHILLIP KIM


Address: 5501 Old York Rd, Philadelphia, PA 19141
Phone: 2154657890

PHILLIP KIM (NPI# 1194258301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194258301
Entity Type Individual
Full Name PHILLIP KIM
Practice Address 5501 Old York Rd
Philadelphia
PA 19141
Mailing Address 5501 Old York Road
Philadelphia
PA 19141
Practice Telephone 2154657890
Mailing Telephone 2154657890
Enumeration Date 2017-04-05
Last Update Date 2018-06-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers PHILLIP KIM

NPI Name Taxonomy Address Enumeration
1427376672 Phillip Jung-wan Kim Chiropractor 3434 W 6th St Ste 312, Los Angeles, CA 90020-2578 2010-05-12
1033365341 Phillip J Kim Family Medicine 4770 W Herndon Ave Ste 105, Fresno, CA 93722-8401 2008-08-18
1538294236 Phillip S Kim Chiropractor 277 Prospect Ave Lg, 1st Fl, Hackensack, NJ 07601-2570 2007-02-22
1649775313 Phillip Kim Student in an Organized Health Care Education/Training Program 2315 Stockton Blvd, Sacramento, CA 95817-2201 2018-03-26
1336535202 Phillip Kim Student in an Organized Health Care Education/Training Program 177 Ft Washingtn Ave # 7gs-313, New York, NY 10032-3733 2015-04-07
1962576264 Phillip Kim Hospitalist 275 W Macarthur, Oakland, CA 94611-5641 2006-11-20

Office Location

Street Address 5501 OLD YORK RD
City PHILADELPHIA
State PA
Zip Code 19141

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518962331 Sean Janzer Internal Medicine 5501 Old York Rd, 4th Floor Willowcrest, Philadelphia, PA 19141-3018 2005-06-17
1740897594 Tajmia G Mcintosh Nurse Practitioner 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-25
1104433200 Juan Pablo Solano Romero Student in an Organized Health Care Education/Training Program 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-23
1205442233 Rasha Elrefai Pediatrics 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-15
1124633847 Maria Carolina Musri Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-09-10
1295345916 Bakhtawer Siraj Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-08-06
1699383091 Sreenagavishnuvardha Motupalli Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-21
1750909222 Raja Srinivas Boddepalli Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-10
1306463518 Atif Iftikhar Nehvi Internal Medicine 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-07-03
1821615345 Paulina Henriquez Rojas Psychiatry & Neurology 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598375925 Meredith Jeanne Behr Physician Assistant 5401 N Broad St, Philadelphia, PA 19141 2020-07-31
1811552896 Kristine Nissley Registered Nurse Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 2019-05-06
1427525054 Danielle Dicicco Havelin Social Worker 1314 Windrim Ave, Philadelphia, PA 19141 2018-11-01
1568956043 Reid Thomas Alley Psychiatry & Neurology Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 2018-06-19
1912409533 Lauren Joy Barton Physician Assistant 5401 N Broad St Ste 363, Philadelphia, PA 19141 2018-02-28
1952819633 Einstein Practice Plan, Inc. Internal Medicine 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 2018-01-17
1043739642 Lauren Lynn Pleis Nurse Practitioner 1200 Tabor Road, Philadelphia, PA 19141 2017-09-14
1225558224 Ryan A. Hoffman Student in an Organized Health Care Education/Training Program Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 2017-06-21
1972036515 Hussein Safa Family Medicine 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 2017-04-11
1366895500 Ejaz Mahmood Student in an Organized Health Care Education/Training Program 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 2016-07-22
Find all providers in zip 19141

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1891395828 Roopali Mahajan Student in an Organized Health Care Education/Training Program 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 2020-10-28
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1477166056 Tiffany Shanay Canady Student in an Organized Health Care Education/Training Program 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 2020-08-25
1093325599 Taylor Ann Hall Student in an Organized Health Care Education/Training Program 403 E Evergreen Ave, Philadelphia, PA 19118-2826 2020-08-09
1093324766 Alex J Rodriguez Student in an Organized Health Care Education/Training Program 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 2020-07-28
1396361796 Hagar Mahmoud Student in an Organized Health Care Education/Training Program 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 2020-06-22
1801412416 Vishak Hari Kumar Student in an Organized Health Care Education/Training Program 2601 Holme Ave., Philadelphia, PA 19152 2020-06-19
1386266138 Ogan Kumova Student in an Organized Health Care Education/Training Program 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 2020-05-15
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19141

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Dataset Information

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.

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