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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101045874 | VA | Allopathic & Osteopathic Physicians |
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 |
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 |
Street Address |
8640 SUDLEY RD STE 201 |
City | MANASSAS |
State | VA |
Zip Code | 20110-4404 |
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 |
Find all providers in the same location |
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 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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. EDWARD C 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.