MITCHEL M. S. KIM (NPI# 1245214774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245214774 |
| Entity Type | Individual |
| Full Name | MITCHEL M. S. KIM |
| Credential | M.D. |
| Practice Address |
500 W Brown Deer Rd Suite 202 Bayside WI 53217-1618 |
| Practice Telephone | 4144340461 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2014-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
38657 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
500 W BROWN DEER RD SUITE 202 |
| City | BAYSIDE |
| State | WI |
| Zip Code | 53217-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435083 | Stefanie M. Rosenberg | Physician Assistant | 500 W Brown Deer Rd, Bayside, WI 53217-1627 | 2005-08-29 |
| 1770824245 | Healing Point Chiropractic LLC | Chiropractor | 500 W Brown Deer Rd, Suite 220, Bayside, WI 53217-1627 | 2013-03-08 |
| 1730373804 | Knut Erik Feiker | Chiropractor | 500 W Brown Deer Rd, Suite 220, Bayside, WI 53217-1627 | 2007-08-31 |
| 1013133065 | Milwaukee Eye Care Associates S.c. | Technician/Technologist | 500 W Brown Deer Rd, Suite 110, Bayside, WI 53217-1618 | 2007-04-18 |
| 1831240407 | Juile Johnson | Specialist | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2007-01-12 |
| 1790700185 | John Whalen | Nuclear Medicine | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2006-07-13 |
| 1417972803 | Richard Bush | Specialist | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2006-07-13 |
| 1528016144 | Howard H Johnson | Specialist | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1627 | 2006-05-05 |
| 1578542767 | Vladimir Ivanovic | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2006-01-16 |
| 1003890278 | Timothy L Workman | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740576131 | Kuo-sheng Juang | Radiology | 6727 213th St, Bayside, NY 11364-2509 | 2011-06-23 |
| 1841466042 | Ari Isaac Jonisch | Radiology | 32-25 Francis Lewis Blvd, Bayside, NY 11358 | 2008-05-07 |
| 1598852469 | Main Street Radiology At Bayside,llc | Radiology | 4401 Francis Lewis Blvd, Bayside, NY 11361-3002 | 2006-10-10 |
| 1578542767 | Vladimir Ivanovic | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2006-01-16 |
| 1003890278 | Timothy L Workman | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-12-01 |
| 1750365284 | Apichai Jarenwattananon | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-11-29 |
| 1508849779 | Robert Wittchow | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-11-22 |
| 1831171487 | Patrick Mcwey | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264511 | Howard Simon Md PC | Radiology | 3960 Hillside Dr Ste 106, Delafield, WI 53018-2148 | 2020-08-04 |
| 1952951154 | Premier Radiology Wisconsin, LLC | Radiology | 10180 Washington Ave Ste 101, Mt Pleasant, WI 53177-1604 | 2019-09-19 |
| 1013478635 | Troy Nelson Tenbrunsel | Radiology | Uw Hospitals & Clinics 600 Highland Road, Madison, WI 53792-0001 | 2019-03-27 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1346774726 | Molly Peterson | Radiology | 2639 University Ave Ste 201, Madison, WI 53705-3750 | 2017-04-12 |
| 1821445107 | Ryan Griesbach | Radiology | Uw Hospitals and Clinic, 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-17 |
| 1629442181 | Dysphagia Testing, LLC | Radiology | 10638 Hidden Creek Dr, Mequon, WI 53092-8538 | 2015-11-20 |
| 1679987341 | Daniel Joseph Baumel | Radiology | 513 Clifden Dr, Madison, WI 53711-1530 | 2014-06-20 |
| 1235549247 | Benjamin Sawatzky | Radiology | 9 S Marquette St, Madison, WI 53704-5117 | 2014-04-29 |
| 1285054064 | Matthew Gregory Pipho | Radiology | 9306 Briar Haven Dr, Verona, WI 53593-8791 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MITCHEL M. S. KIM.
| 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.