DR. CHRISTOPHER KIM (NPI# 1205980208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205980208 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER KIM |
Credential | M.D. |
Practice Address |
7950 W Jefferson Blvd Neonatal Intensive Care Unit Fort Wayne IN 46804-4140 |
Mailing Address |
1929 Crossway Drive Fort Wayne IN 46814 |
Practice Telephone | 2606393795 |
Practice Fax Number | 2606393795 |
Enumeration Date | 2007-01-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
01053983A | IN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477181642 | Christopher Jay Hyun Kim | Student in an Organized Health Care Education/Training Program | 150 Bergen St Rm I-248, Newark, NJ 07103-2496 | 2020-03-31 |
1316460942 | Christopher Tran Kim | Pharmacist | 8043 Bienville Dr Apt Z9, Nashville, TN 37211-7176 | 2017-07-25 |
1538696117 | Christopher Kim | Internal Medicine | 6550 Fannin St Ste Sm1201, Houston, TX 77030-2717 | 2017-05-15 |
1295990331 | Christopher S. Kim | Dentist | 6380 Louetta Rd, Spring, TX 77379-7589 | 2008-07-28 |
1619137148 | Christopher Jinyong Kim | Surgery | 4585 Stevens Creek Blvd Ste 110, Santa Clara, CA 95051 | 2008-06-09 |
1649449653 | Christopher S Kim | Internal Medicine | 902 Venice Dr, Silver Spring, MD 20904-2063 | 2008-02-23 |
1598968315 | Christopher Chaeho Kim | Dentist | 5040 N. Tarrant Pkwy, Suite #118, Fort Worth, TX 76137 | 2007-06-08 |
1235265695 | Christopher Jung Kwon Kim | Dentist | 1002 E El Camino Real, Sunnyvale, CA 94087-3759 | 2007-02-27 |
1366554248 | Christopher Sungbum Kim | Chiropractor | 5480 Lincoln Ave, Cypress, CA 90630-2238 | 2006-08-31 |
1811514854 | Christopher Jihoon Kim | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2020-06-25 |
Street Address |
7950 W JEFFERSON BLVD NEONATAL INTENSIVE CARE UNIT |
City | FORT WAYNE |
State | IN |
Zip Code | 46804-4140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760486187 | Heather J. Wolfe | Pediatrics | 7950 W Jefferson Blvd, Suite 212, Fort Wayne, IN 46804-4140 | 2005-06-13 |
1831798354 | Dorian Raymone Tate | Nurse Anesthetist, Certified Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-26 |
1528665585 | Alexis Kate Felger | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-02 |
1114534054 | Mary Catherine Richter | Specialist/Technologist, Other | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-09-24 |
1538778386 | Lori Elizabeth Jackson | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-07-28 |
1831708965 | Anna N. Kemler | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-24 |
1699383307 | David James Mansfield | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-20 |
1932726452 | Joseph Egbert | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-06-30 |
1245851872 | Lauren Tirey | Occupational Therapist | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-05-05 |
1609415421 | Mikhaila Sailor | Dietitian, Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2019-12-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
Find all providers in zip 46804 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730234071 | Northern Indiana Neonatal Associates, PC | Pediatrics | 3221 Covington Lake Dr, Fort Wayne, IN 46804-2515 | 2007-01-25 |
1104950799 | Win Boon | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2007-03-15 |
1568515567 | Rene C. Arcellana | Pediatrics | 7950 W Jefferson Blvd, Neonatal Intensive Care Unit, Fort Wayne, IN 46804-4140 | 2007-01-21 |
1649322645 | Janet L. Leezer | Pediatrics | 7950 W Jefferson Blvd, Neonatal Intensive Care Unit, Fort Wayne, IN 46804-4140 | 2007-01-18 |
1669524732 | James E. Cameron | Pediatrics | 7950 W Jefferson Blvd, Neonatal Intensive Care Unit, Fort Wayne, IN 46804-4140 | 2007-01-17 |
1245381607 | Daniel A. Biehl | Pediatrics | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-01-14 |
1326099334 | Alston Michael Porter | Pediatrics | 11115 Parkview Plaza Dr, Dept. of Neonatology, Fort Wayne, IN 46845-1701 | 2006-05-14 |
1134185382 | Felix A Okah | Pediatrics | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-04-25 |
1639133127 | Candace C Caldwell | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2006-04-13 |
1073593158 | Stephan Edwin Pepple | Pediatrics | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-01-17 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46804 |
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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.