ROGER HOON KIM


Address: 315 W Carpenter St Fl C2, Springfield, IL 62702-4901
Phone: 2175458000

ROGER HOON KIM (NPI# 1225237704) 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) 1225237704
Entity Type Individual
Full Name ROGER HOON KIM
Credential MD
Practice Address 315 W Carpenter St Fl C2
Springfield
IL 62702-4901
Mailing Address Po Box 19677
Springfield
IL 62794-9677
Practice Telephone 2175458000
Practice Fax Number 2175457442
Mailing Telephone (217) 545-8000
Mailing Fax Number 2175457442
Enumeration Date 2007-07-13
Last Update Date 2017-09-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
036-144271 IL Allopathic & Osteopathic Physicians
N 2086X0206X Surgery
Specialization: Surgical Oncology
0101241581 VA Allopathic & Osteopathic Physicians
N 2086X0206X Surgery
Specialization: Surgical Oncology
MD.203302 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE 036-144271 01

Other Providers ROGER KIM

NPI Name Taxonomy Address Enumeration
1831578525 Roger Kim Student in an Organized Health Care Education/Training Program 950 Campbell Ave # 11acsl1, Va Connecticut Healthcare System, West Haven, CT 06516-2770 2015-05-27

Office Location

Street Address 315 W CARPENTER ST FL C2
City SPRINGFIELD
State IL
Zip Code 62702-4901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861834608 Jesse T Casaubon Surgery 100 Wason Ave Ste 340, Springfield, MA 01107-1179 2013-07-22
1861493132 Elizabeth W. Brady Surgery 100 Wason Avenue, Springfield, MA 01107-1179 2005-08-09
1922393669 Danielle M Lipoff Surgery 100 Wason Avenue, Springfield, MA 01107-1179 2011-06-10
1184816829 Shuja Ahmed Surgery 301 N 8th St, Springfield, IL 62701-1041 2007-08-16
1780695320 Susan Cash Surgery 3350 Main Street, Springfield, MA 01199 2006-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205093697 Myles P Cunningham Surgery 31 Woodley Road, Winnetka, IL 60093 2008-05-22
1033162839 Mark M. Connolly Surgery 2913 N Commonwealth Ave, 5th Floor, Chicago, IL 60657-6211 2006-05-19
1942272968 Charles K Brown Surgery 5201 Willow Springs Rd Ste 290, La Grange Highlands, IL 60525-6506 2006-02-03
1114913225 Thomas H Tarter Surgery 210 W Mckinley Ave Ste 1, Decatur, IL 62526-5858 2005-09-23
1396739280 Sonya M Sharpless Surgery 660 N Westmoreland Rd Ste 303, Lake Forest, IL 60045-1659 2005-09-07
1588662928 Swati Kulkarni Surgery 250 E Superior St, Suite 420, Chicago, IL 60611-2914 2005-07-11
1760868871 Presence Central and Suburban Hospitals Network Surgery 333 Madison St, Joliet, IL 60435-8200 2015-07-31
1235424656 Fadi Suhail Dahdaleh Surgery 5841 S. Maryland Avenue, M/c 6040, Chicago, IL 60637 2011-06-14
1396062253 Akhil Chawla Surgery 4405 Weaver Pkwy, Warrenville, IL 60555-3269 2010-04-30
1245556406 Oliver S. Eng Surgery 5841 S Maryland Ave # Mc5094, Chicago, IL 60637-1443 2010-04-13
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Competitor

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City SPRINGFIELD
Zip Code 62702

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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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