DR. EDWARD C KIM


Address: 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404
Phone: 7033686819

DR. EDWARD C KIM (NPI# 1275538076) 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) 1275538076
Entity Type Individual
Full Name DR. EDWARD C KIM
Credential MD
Practice Address 8640 Sudley Rd Ste 201
Manassas
VA 20110-4404
Practice Telephone 7033686819
Practice Fax Number 7033302923
Mailing Telephone 7033686819
Mailing Fax Number 7033302923
Enumeration Date 2005-06-17
Last Update Date 2018-03-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
0101045874 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA MAMSI 284691 01
VA VIRGINIA HEALTH NETWORK 541604636 01
VA ANTHEM/WARRENTON 317528 01
VA CAREFIRST 92130005 01
VA 005847052 05
VA AETNA HMO 2431908 01
VA AETNA PPO 7206160 01
VA ANTHEM/MANASSAS 317527 01
VA CIGNA 3781769003 01

Other Providers EDWARD KIM

NPI Name Taxonomy Address Enumeration
1497201701 Edward Kim Student in an Organized Health Care Education/Training Program 1400 N Interstate 35 Ste 2.230, Austin, TX 78701 2016-08-28
1700084886 Edward S Kim Dentist 9110 Railroad Dr Ste 201, Manassas Park, VA 20111-7041 2007-07-10
1457567836 Edward Tae Kim General Practice 658 N Black Horse Pk, Runnemede, NJ 08078 2007-05-15
1679619092 Edward T Kim Internal Medicine 2222 East St Ste 305, Concord, CA 94520-2066 2007-01-30
1982779013 Edward Yungjung Kim Dentist 5205 S. Durango Dr. #103, Las Vegas, NV 89113 2006-11-22
1992807366 Edward S Kim Dentist 191 Hamburg Turnpike, Pompton Lakes, NJ 07442 2006-09-05
1346264595 Edward H. Kim Podiatrist 1245 Wilshire Blvd Ste 202, Los Angeles, CA 90017-4810 2006-07-27
1952369548 Edward Kim Internal Medicine 7 Community Dr, Buffalo, NY 14225-2523 2006-05-03
1316948029 Edward D Kim Urology 1928 Alcoa Hwy, Bldg B Suite 222, Knoxville, TN 37920-1502 2005-08-03
1982248365 Edward Kim Pharmacist 4949 Gosford Rd, Bakersfield, CA 93313-4992 2019-10-29

Office Location

Street Address 8640 SUDLEY RD STE 201
City MANASSAS
State VA
Zip Code 20110-4404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548502347 Kibbum Kang Nurse Practitioner 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2013-03-20
1689806531 Christa M Purdum Physician Assistant 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2009-08-11
1245475607 Michelle Bachtold Physician Assistant 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2008-12-12
1720253503 Tinatin Khizanishvili O'connell Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2008-04-23
1992828693 Paul O Arnold Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2007-04-09
1093828147 Nina Phatak Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2006-08-15
1023057445 Myung W Choi Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2006-06-05
1154377497 Darren S Baroni Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2006-05-26
1225033038 Jin Hong Park Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2005-06-17
1306841127 Douglas S Price Specialist 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2005-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184246787 Sini Eapen Nurse Practitioner 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 2020-05-18
1023662202 United Health Home Care Agency Registered Nurse 8789 Commerce Ct#202, Manassas, VA 20110 2019-07-26
1750868097 Elaine K. Sours, D.d.s., P.C. Dentist 8719 Plantation Lane, Manassas, VA 20110 2018-07-19
1962904573 Donielle Francis Specialist/Technologist 10420 Monterosa Pl, Manassas, VA 20110 2018-02-28
1003332354 Katrina Kask Occupational Therapist 6985 Centreville Rd., Manassas, VA 20110 2017-08-18
1477091478 Mega Health Services, Inc General Practice 9602 Champion Ct, Manassas, VA 20110 2017-02-09
1811340599 Malik Usman Dds, PC Dentist 8559 Sudley Road, Manassas, VA 20110 2016-07-19
1871944660 Chitra Subbaraj Physical Therapist 8595 Centreville Rd, Manassas, VA 20110 2016-06-23
1093186512 Daczkowski Orthodontics Dentist 8715 Stonewall Road, Manassas, VA 20110 2015-10-09
1851770366 Candace Fleming Counselor 9242b Mosby St, Manassas, VA 20110 2015-05-29
Find all providers in zip 20110

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841469061 Rizwan Ahmed Internal Medicine 8640 Sudley Road, Suite 201, Manassas, VA 20110 2008-02-21
1992828693 Paul O Arnold Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2007-04-09
1093828147 Nina Phatak Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2006-08-15
1023057445 Myung W Choi Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2006-06-05
1154377497 Darren S Baroni Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2006-05-26
1225033038 Jin Hong Park Internal Medicine 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 2005-06-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891338745 Gastrointestinal and Liver Specialists of Tidewater Pllc Internal Medicine 1101 First Colonial Rd Ste 400, Virginia Beach, VA 23454-2409 2019-10-23
1811544240 Zhenxia Na Shuai Internal Medicine 44055 Riverside Pkwy Ste 220, Leesburg, VA 20176-5177 2019-08-21
1932763786 Stonesprings Gastroenterology Pllc Internal Medicine 24430 Stone Springs Blvd Ste 200, Dulles, VA 20166-2267 2019-04-26
1013439835 Maryview Hospital Internal Medicine 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602-4414 2017-07-13
1851741912 Alkimawi Medical Incorporated Internal Medicine 4209 Dale Blvd, Woodbridge, VA 22193-2243 2016-06-20
1750739009 Omer Shahab Internal Medicine Vcuhs Dept of Medicine Gastroenterology 980257, 1250 E. Marshall Street, Richmond, VA 23298-0459 2016-05-27
1962842583 Patty Tian Wang Internal Medicine 1717 Will O'wisp Drive, Suite 200, Virginia Beach, VA 23454 2013-06-27
1578858155 Mohammad Shadab Siddiqui Internal Medicine 1200 E. Broad Street, West Hospital, 14th Floor, Richmond, VA 23298 2011-06-13
1154637056 Mohammed Albugeaey Internal Medicine 190 Campus Blvd Ste 300, Winchester, VA 22601-2872 2010-08-30
1326350570 Ben Persons Bradenham Jr. Internal Medicine 7611 Forest Ave Ste 410, Richmond, VA 23229-4946 2010-07-03
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Competitor

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City MANASSAS
Zip Code 20110

Improve Information

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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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