BYUNGKI KIM (NPI# 1255307906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255307906 |
| Entity Type | Individual |
| Full Name | BYUNGKI KIM |
| Credential | MD |
| Practice Address |
3028 Javier Rd Ste 500 Fairfax VA 22031-4622 |
| Mailing Address |
3700 Joseph Siewick Dr Suite 308 Fairfax VA 22033 |
| Practice Telephone | 7036988960 |
| Practice Fax Number | 5714945794 |
| Mailing Telephone | 7036988960 |
| Mailing Fax Number | 7037168703 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101227056 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 317111 | 01 |
| VA | CAREFIRST BCBS | 79160013 | 01 |
| VA | ANTHEM BCBS | 178735 | 01 |
| VA | ANTHEM BCBS | 187450 | 01 |
| VA | 5844541 | 05 | |
| VA | RAILROAD MEDICARE | 100014968 | 01 |
| VA | ANTHEM BCBS | 187601 | 01 |
| VA | ANTHEM BCBS | 317110 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033 | 7037168700 | 7037168703 |
| 3914 Centreville Rd Ste 350, Chantilly, VA 201513289 | 7037168700 |
| Street Address |
3028 JAVIER RD STE 500 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337158 | Behzad Kalaghchi | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2005-09-27 |
| 1639573223 | Stephanie Byers | Physician Assistant | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2014-10-10 |
| 1770852386 | Hanna L Kim | Physician Assistant | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2011-12-28 |
| 1881911667 | Iris Lee | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2010-05-03 |
| 1770742595 | Bezawit Tekola | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031 | 2008-06-06 |
| 1699793372 | Ahmed Hegab | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2006-07-18 |
| 1740209147 | Rupa N. Shah | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031 | 2006-07-18 |
| 1013949254 | Nader H Balba | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2006-07-07 |
| 1952372542 | Kenneth R Mirkin | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031 | 2006-01-31 |
| 1861472862 | Tonya Lynn Adams | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962505818 | Nicholas Szary | Internal Medicine | 3028 Javier Rd Ste 400, Fairfax, VA 22031-4622 | 2006-09-06 |
| 1356337158 | Behzad Kalaghchi | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2005-09-27 |
| 1962407924 | Felice L Banson | Internal Medicine | 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033 | 2005-06-16 |
| 1114220266 | Maurice Atiyeh Md | Internal Medicine | 8501 Arlington Blvd, Ste 500, Fairfax, VA 22031-4617 | 2010-12-13 |
| 1568781706 | Ivan Peter Harnden | Internal Medicine | 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | 2010-05-27 |
| 1881911667 | Iris Lee | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 | 2010-05-03 |
| 1770742595 | Bezawit Tekola | Internal Medicine | 3028 Javier Rd Ste 500, Fairfax, VA 22031 | 2008-06-06 |
| 1770702011 | Asma Khapra | Internal Medicine | 3022 Williams Dr, #301, Fairfax, VA 22031-4600 | 2007-04-25 |
| 1861517963 | Hemorrhoid Relief Center of Virginia, Inc. | Internal Medicine | 3020 Hamaker Ct, Suite B110, Fairfax, VA 22031-2238 | 2007-03-20 |
| 1598800765 | Carol S Schuffler | Internal Medicine | 8301 Arlington Blvd, #308, Fairfax, VA 22031 | 2007-02-21 |
| Find all providers in FAIRFAX | ||||
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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.