KIUP ALEXANDER KIM


Address: 5060 N 19th Ave Ste 207, Phoenix, AZ 85015
Phone: 4807885621

KIUP ALEXANDER KIM (NPI# 1225242985) 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) 1225242985
Entity Type Individual
Full Name KIUP ALEXANDER KIM
Credential MD, RPVI
Practice Address 5060 N 19th Ave Ste 207
Phoenix
AZ 85015
Mailing Address 5060 N 19th Ave Ste 207
Phoenix
AZ 85015-3212
Practice Telephone 4807885621
Practice Fax Number 4807791277
Mailing Telephone 4807885621
Mailing Fax Number 4807791277
Enumeration Date 2007-05-10
Last Update Date 2020-03-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 42708 AZ Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
42708 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ NPI 1225242985 01
AZ PTAN Z139140 01
AZ 501341 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
333 N Dobson Rd, Chandler, AZ 852244412 4807885621 4807791277
2737 W Baseline Rd Ste 27, Tempe, AZ 852831051 4807885621 4807791277
5060 N 19th Ave Ste 105, Phoenix, AZ 85015 4807885621 4807791277
5060 N 19th Ave Ste 207, Phoenix, AZ 85015 4807885621 4807791277
1455 W Chandler Blvd Ste B11, Chandler, AZ 85224 4807885621 4807791277
202 E Earll Dr Ste 360, Phoenix, AZ 850122677 4807885621 4807791277

Office Location

Street Address 5060 N 19TH AVE STE 207
City PHOENIX
State AZ
Zip Code 85015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619043890 Stephen J Joyce Internal Medicine 5060 N 19th Ave Ste 207, Phoenix, AZ 85015-3212 2006-11-28
1538425558 Carlos Roman Echevarria Internal Medicine 5060 N 19th Ave Ste 207, Phoenix, AZ 85015-3212 2012-04-03
1295056919 Advanced Minimally Invasive Surgical Family Medicine 5060 N 19th Ave Ste 207, Phoenix, AZ 85015-3212 2010-06-16
1598813743 Ramon Ugarte Jr. Physician Assistant 5060 N 19th Ave Ste 207, Phoenix, AZ 85015-3212 2007-01-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610310 Leticia Karina Maria Lelli Student in an Organized Health Care Education/Training Program 4760 N. 20th Ave, Phx, AZ 85015 2020-08-18
1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
1851820146 Jeff Biever Spec/Tech, Cardiovascular 1517 West Lamar Rd, Phoenix, AZ 85015 2017-06-08
1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
1295141620 Yehia Saleh Pharmacist 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 2014-07-07
1295160380 Journey To Prosperity Custodial Care Facility 1623 W Denton, Phoenix, AZ 85015 2013-09-07
1124372099 Facing The Future With Hope Counselor 5656 N 17th Ave #c7, Phoenix, AZ 85015 2012-10-31
1700133998 Srujal Vinubhai Patel Internal Medicine 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 2012-08-07
1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
1528360674 Fatima Medical Transportation LLC Non-emergency Medical Transport (VAN) 2025 W Indian School Road, #705, Phoenix, AZ 85015 2010-11-23
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144746033 Az Surgical Solutions Surgery 3724 N 3rd St Ste 302, Phoenix, AZ 85012-2034 2017-08-22
1184072894 Eugene L De La Cruz Dpm PC Surgery 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 2016-06-03
1164821112 Arizona Surgical Associates, Plc Surgery 9305 W Thomas Rd Ste 480, Phoenix, AZ 85037-3375 2014-08-15
1639443096 Joseph Patrick Kennelly Surgery 5941 E Lafayette Blvd, Phoenix, AZ 85018-4660 2012-03-02
1285927574 Para Surgical Specialists, Pllc Surgery 9515 W. Camelback Rd, Suite 132, Phoenix, AZ 85037-0000 2011-05-19
1427347665 Morley Rosenfield Surgery 3039 E Marshall Ave, Phoenix, AZ 85016-3713 2011-03-28
1962705889 Richard Lance Chilian Surgery 2539 West Bloch Road, Phoenix, AZ 85041-2908 2010-12-15
1205140027 Tracy Lynn Freeborn Surgery 9250 W Thomas Rd Ste 250, Phoenix, AZ 85037 2010-08-04
1407176126 Martin E. Zipser Surgery 7320 N Dreamy Draw Dr, Phoenix, AZ 85020-5212 2010-06-03
1649413089 Kaavya Reddy Matatova Surgery 19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 2009-04-15
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Competitor

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City PHOENIX
Zip Code 85015

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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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