DR. JIEUN KIM (NPI# 1215138458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215138458 |
| Entity Type | Individual |
| Full Name | DR. JIEUN KIM |
| Credential | M.D. |
| Practice Address |
921b N Bethlehem Pike Ste 305 Lower Gwynedd PA 19002-1319 |
| Mailing Address |
503 Washigton Avenue, Suite 2b Newtown PA 18940-2222 |
| Practice Telephone | 2157711434 |
| Practice Fax Number | 8667213170 |
| Mailing Telephone | 2157711434 |
| Mailing Fax Number | 8667213170 |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2015-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD435086 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861003733 | Jieun Judy Kim | Pharmacist | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-08-13 |
| 1447792767 | Jieun Kim | Hearing Instrument Specialist | 18802 Mountain View Dr E, Bonney Lake, WA 98391-7110 | 2016-11-17 |
| 1396112819 | Jieun Kim | Pharmacist | 7523 Broadway, Elmhurst, NY 11373-5612 | 2015-09-01 |
| 1912337676 | Jieun Kim | Pharmacist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-11-17 |
| 1386084333 | Jieun Kim | Nurse Practitioner | 1122 S St Ste 102, Fresno, CA 93721-1430 | 2013-07-03 |
| 1841599347 | Jieun Kim | Counselor | 1665 W Adams Blvd, Los Angeles, CA 90007-1533 | 2011-03-23 |
| 1982912879 | Jieun Kim | Counselor | 5 Market Sq, Suite 5b, Amesbury, MA 01913-2497 | 2010-09-14 |
| 1720305584 | Jieun Anna Kim | Ophthalmology | 3030 Childrens Way, Suite 109, San Diego, CA 92123-4232 | 2010-05-03 |
| Street Address |
921B N BETHLEHEM PIKE STE 305 |
| City | LOWER GWYNEDD |
| State | PA |
| Zip Code | 19002-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760003313 | Anpac Technology Usa Co Ltd | Clinical Medical Laboratory | 727 Norristown Rd., 3 Spring House Innovation Park Suite 150, Lower Gywnedd, PA 19002 | 2020-05-05 |
| 1043845019 | Eileen C Quinn | Behavioral Analyst | 323 Valley Brook Rd., Ambler, PA 19002 | 2020-03-10 |
| 1275032245 | Meredith A. Cheifetz, Ms, Rd, Ldn | Dietitian, Registered | 1429 Treetop Lane, Ambler, PA 19002 | 2018-02-06 |
| 1649728684 | Jennifer Xu | Specialist/Technologist | 902 Chesterfield Dr, Ambler, PA 19002 | 2016-09-20 |
| 1790232502 | Acts Signature Community Services, Inc. | Internal Medicine | 812 Bethlehem Pike, Ambler, PA 19002 | 2016-09-09 |
| 1477913564 | Kathleen D'ginto | Physical Therapy Assistant | 1024 N. Bethlehem Pike, Ambler, PA 19002 | 2016-03-02 |
| 1437557576 | John F Quigley | Family Medicine | 627 Chatsworth Dr., Ambler, PA 19002 | 2014-12-05 |
| 1578983748 | Christina Nucero | Occupational Therapist | 742 Calabria Lane, Ambler, PA 19002 | 2014-04-25 |
| 1023455094 | Antoine F. Julien | Psychiatry & Neurology | 701 Merrill Rd., Ambler (lower Gwyned), PA 19002 | 2013-05-30 |
| 1700135332 | Lynne Parker | Nurse Practitioner | 301 Norristown Road, Ambler, PA 19002 | 2012-08-29 |
| Find all providers in zip 19002 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1255932174 | Northeast Counseling Service | Psychiatry & Neurology | 85 S Old Turnpike Rd, Drums, PA 18222-1731 | 2020-11-06 |
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | LOWER GWYNEDD |
| Zip Code | 19002 |
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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.