DENNIS W KIM (NPI# 1194775254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194775254 |
| Entity Type | Individual |
| Full Name | DENNIS W KIM |
| Credential | M.D., PHD. |
| Practice Address |
6335 Hospital Pkwy Suite 208 Johns Creek GA 30097-1549 |
| Mailing Address |
2835 Brandywine Rd 300 Atlanta GA 30341-5510 |
| Practice Telephone | 4042562593 |
| Practice Fax Number | 6785471494 |
| Mailing Telephone | 7704889212 |
| Mailing Fax Number | 7704889408 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
052762 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 521781413A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134296841 | Dennis Kim | Psychiatry & Neurology | 1985 Lincoln Way Suite 23, #354, White Oak, PA 15131-2415 | 2006-11-29 |
| 1699035626 | Dennis Kim | Dermatology | 75 Francis St, Boston, MA 02115-6110 | 2012-05-23 |
| 1851680318 | Dennis Yong Kim | Internal Medicine | 200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095-9001 | 2011-04-05 |
| 1285937318 | Dennis C. Kim | Physician Assistant | 30 N 1900 E, Rm 3c127, Salt Lake City, UT 84132-2301 | 2010-12-12 |
| 1871763235 | Dennis Hansuk Kim | Allergy & Immunology | 34041 Us Highway 19 N, Suite D, Palm Harbor, FL 34684-2648 | 2008-03-01 |
| 1962603621 | Dennis Byung Kim | Dentist | 1411 W Street Rd, Warminster, PA 18974-3110 | 2007-05-30 |
| 1598813511 | Dennis H. Kim | Urology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2007-01-08 |
| 1629145545 | Dennis Y. Kim | Family Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| 1356414817 | Dennis Kee Chul Kim | Pharmacist | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2006-11-15 |
| 1598835647 | Dennis Kim | Dentist | 2423 W Dunlap Ave, Phoenix, AZ 85021-2830 | 2006-11-08 |
| Street Address |
6335 HOSPITAL PKWY SUITE 208 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589582 | Robert M Weinberg | Anesthesiology | 6335 Hospital Pkwy, Suite 111, Johns Creek, GA 30097-1549 | 2005-06-27 |
| 1518341122 | Tonya Michelle Haley | Physical Therapist | 6335 Hospital Pkwy, Physicians Plaza Suite 316, Johns Creek, GA 30097-1549 | 2015-07-13 |
| 1477945673 | Laura Stover Mcgrew | Nurse Practitioner | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 | 2015-02-24 |
| 1366849564 | Kelly Foss | Occupational Therapist | 6335 Hospital Pkwy, Building 1000, Suite 200, Johns Creek, GA 30097-1549 | 2014-12-03 |
| 1336561075 | Wanda Shull | Registered Nurse | 6335 Hospital Pkwy, Suite 216, Johns Creek, GA 30097-1549 | 2014-01-15 |
| 1205199858 | Julie A Leka | Advanced Practice Midwife | 6335 Hospital Pkwy, Johns Creek, GA 30097-1551 | 2012-06-19 |
| 1568732352 | Cheryl Nuclo | Anesthesiologist Assistant | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 | 2012-01-10 |
| 1023303906 | Jacqueline Yoars | Nurse Anesthetist, Certified Registered | 6335 Hospital Pkwy, Suite 304, Johns Creek, GA 30097-1549 | 2011-06-18 |
| 1275834285 | Mirel Aline Schmidt | Nurse Practitioner | 6335 Hospital Pkwy, Johns Creek, GA 30097-1549 | 2010-11-07 |
| 1437479219 | Quentin Boyles Farmer IIi | Physician Assistant | 6335 Hospital Pkwy, Suite 200, Johns Creek, GA 30097-1549 | 2010-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1720408800 | Andrew Porter | Pediatrics | 202 Village Center Pkwy, Stockbridge, GA 30281-9044 | 2014-04-16 |
| 1689606782 | Albert Tuboku-metzger | Pediatrics | 202 Village Center Parkway, Stockbridge, GA 30281 | 2006-07-07 |
| 1992746929 | Deepti Singh | Pediatrics | 2069 Teron Trce, Suite 300, Dacula, GA 30019-1665 | 2006-06-09 |
| 1770521197 | Margaret J Strieper | Pediatrics | 1700 Tree Lane, Ste 330, Snellville, GA 30078 | 2006-06-04 |
| 1679523435 | Michael E Mcconnell | Pediatrics | 202 Village Ctr Parkway, Stockbridge, GA 30281 | 2006-05-11 |
| 1366491953 | Derek A Fyfe | Pediatrics | 1405 Clifton Rd, Atlanta, GA 30322 | 2006-05-09 |
| 1528017258 | William T Mahle | Pediatrics | 355 Tower Rd Ne Ste 204, Marietta, GA 30060-9413 | 2006-05-09 |
| 1548232036 | Lazaros K Kochilas | Pediatrics | 2835 Brandywine Road, Suite 300, Atlanta, GA 30341-5540 | 2006-02-07 |
| 1861485914 | Georgia Pediatric Cardiology | Pediatrics | 1045 Southcrest Dr, Ste 220, Stockbridge, GA 30281-6113 | 2005-08-24 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
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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.