ANTHONY KIM (NPI# 1205890381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205890381 |
| Entity Type | Individual |
| Full Name | ANTHONY KIM |
| Credential | M. D. |
| Practice Address |
1579 Straits Tpke Suite 2a Middlebury CT 06762-1835 |
| Practice Telephone | 2037578361 |
| Practice Fax Number | 2037549126 |
| Mailing Telephone | 2037578361 |
| Mailing Fax Number | 2037549126 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 041997 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437554078 | Anthony Kim | Acupuncturist | 1791 E Holt Blvd Ste D, Ontario, CA 91761-2125 | 2014-10-24 |
| 1851485866 | Anthony H Kim | Optometrist | 3730 Carmia Dr Sw, Suite 310, Atlanta, GA 30331-6251 | 2006-10-03 |
| 1316963325 | Anthony Kim | Dentist | 8502 Kendra Ln, Corona, CA 92880-3783 | 2006-07-14 |
| 1154363109 | Anthony H Kim | Psychiatry & Neurology | 2155 State Route 22b, Morrisonville, NY 12962-3417 | 2006-06-12 |
| 1134504285 | Anthony Kim | Chiropractor | 1565 Saxon Blvd, Suite 103, Deltona, FL 32725-5876 | 2015-07-29 |
| 1790048254 | Anthony Junghoi Kim | Internal Medicine | 92 Summit Ave, Hackensack, NJ 07601-1263 | 2012-06-20 |
| 1356662316 | Anthony C Kim | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2010-06-14 |
| 1295833762 | Anthony W Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1450 San Pablo St Ste 6200, Los Angeles, CA 90033-5331 | 2006-09-20 |
| 1801906813 | Anthony Sung Gil Kim | Dentist | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2006-08-30 |
| 1891718490 | Anthony C Kim | Internal Medicine | 60 Merrick Ave, East Meadow, NY 11554-1578 | 2006-07-25 |
| Street Address |
1579 STRAITS TPKE SUITE 2A |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176423 | Karen Howe | Physical Therapist | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2005-07-07 |
| 1790270825 | Timothy Raymond Lebel | Physician Assistant | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2018-07-01 |
| 1477004612 | Erin Shaw | Nurse Practitioner | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2016-10-24 |
| 1316491004 | Seasons Medical Group of Connecticut PC | Family Medicine | 1579 Straits Tpke, Suite 1e, Middlebury, CT 06762-1835 | 2016-08-10 |
| 1437519949 | Jennifer L Crowther | Physician Assistant | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2016-02-25 |
| 1053714170 | Muneera Panjwani | Nurse Practitioner | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2014-10-02 |
| 1871901132 | Edmond Michael Daniells | Chiropractor | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2014-07-30 |
| 1639506967 | Hans Knopp | Physical Medicine & Rehabilitation | 1579 Straits Tpke, Middlebury, CT 06762 | 2013-10-01 |
| 1669726477 | Seasons Hospice & Palliative Care of Connecticut, LLC | Hospice Care, Community Based | 1579 Straits Tpke, Ste 1e, Middlebury, CT 06762-1835 | 2012-10-31 |
| 1093068405 | Robert S Wetmore Md PC | Orthopaedic Surgery | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2012-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895314 | Naugatuck Valley Womens Health Specialists PC | Obstetrics & Gynecology | 686 Straits Turnpike, 2a, Middlebury, CT 06762 | 2015-11-10 |
| 1588047153 | Princess Corset & Lingerie Shop II, LLC | Durable Medical Equipment & Medical Supplies | 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 | 2015-07-01 |
| 1437423985 | Gretchen R. Cianciola | Dental Hygienist | 12 Nantucket Way, Middlebury, CT 06762 | 2012-03-01 |
| 1124395223 | Tlc Homecare LLC | Home Health | 900 Straits Tpke Ste 205, Middlebury, CT 06762 | 2011-11-18 |
| 1588893952 | Catherine Ann Accashian | Occupational Therapist | 778 Middlebury Road, Middlebury Convalescent Center, Middlebury, CT 06762 | 2009-07-07 |
| 1013081819 | Waltor M Phillips | Psychologist | 415 Middlebury Road, Middlebury, CT 06762 | 2006-11-20 |
| 1518922608 | W Kenneth Miner | Physician Assistant | 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 | 2006-04-20 |
| 1952366072 | John M Keggi | Orthopaedic Surgery | 1579 Straits Turnpike, Suite E, Orthopaedics New England PC, Middlebury, CT 06762 | 2006-04-20 |
| 1568443125 | Stanley J Foster IIi | Plastic Surgery | 1625 Straits Turnpike, Suite 108, Middlebury, CT 06762 | 2005-11-10 |
| 1932556602 | Karissa Piedescalzo | Social Worker | 850 Straits Tpke Ste 201, Middlebury, CT 06762 | 2016-05-23 |
| Find all providers in zip 06762 | ||||
| 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 |
|---|---|---|---|---|
| 1457995433 | Urology Associates of Waterbury LLC | Urology | 1579 Straits Tpke Ste 2a, Middlebury, CT 06762-1835 | 2019-11-01 |
| 1023033149 | Sagar Mohan Phatak | Urology | 1579 Straits Tpke, Suite 2a, Middlebury, CT 06762-1835 | 2006-07-12 |
| 1023072279 | Robert A Feldman | Urology | 1579 Straits Tpke, Suite 2a, Middlebury, CT 06762-1835 | 2006-04-14 |
| 1902860166 | Michael J Flanagan | Urology | 1579 Straits Tpke, Suite 2a, Middlebury, CT 06762-1835 | 2006-04-14 |
| 1720042971 | Joseph P Antoci | Urology | 1579 Straits Tpke, Suite 2a, Middlebury, CT 06762-1835 | 2006-04-14 |
| 1083678247 | York P Moy | Urology | 1579 Straits Tpke, Suite 2a, Middlebury, CT 06762-1835 | 2006-04-14 |
| 1760446173 | Urology Specialists, P. C. | Urology | 1579 Straits Tpke, Suite 2a, Middlebury, CT 06762-1835 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1407325863 | Health Quest Medical Practice, PC | Urology | 120 Park Lane Poad, Suite A202, New Milford, CT 06776-2445 | 2018-11-15 |
| 1740667815 | Keith Richard O'brien | Urology | 2600 Main St Ste 119, Bridgeport, CT 06606-5305 | 2015-04-28 |
| 1336534312 | David Thomas Ahlborn | Urology | 80 Seymour St Dept Of, Hartford, CT 06106-3315 | 2015-04-06 |
| 1487095451 | Alan Cahn Davidson | Urology | 15 Edgehill Dr, Woodbridge, CT 06525-1418 | 2013-07-08 |
| 1003158106 | Christine White Cumarasamy | Urology | Hartford Hospital Urology Dept, 79 Retreat Avenue, Hartford, CT 06106 | 2013-03-27 |
| 1568722551 | Joseph Mathew Brito IIi | Urology | 789 Howard Ave # Fmp302, New Haven, CT 06519-1304 | 2012-05-23 |
| 1861768749 | Philip B. Jensen | Urology | 59 Hilltop Road, Sharon, CT 06069-0727 | 2012-03-26 |
| 1568749612 | Michael G Tager | Urology | 104 Imperial Ave, Westport, CT 06880-5034 | 2011-11-03 |
| 1679869572 | Dana Ufnal Kivlin | Urology | 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | 2011-06-20 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURY |
| Zip Code | 06762 |
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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.