DR. SAMUEL K SIM (NPI# 1275633844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275633844 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL K SIM |
| Credential | MD |
| Practice Address |
2415 Ne 134th Street Suite 205 Vancouver WA 98686 |
| Practice Telephone | 3605765060 |
| Practice Fax Number | 3605761133 |
| Mailing Telephone | 3605765060 |
| Mailing Fax Number | 3605761133 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2011-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD00032743 | WA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD-12112 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 519043-01 | 05 | |
| HI | HMSA BILLING NUMBER | 0000237701 | 01 |
| WA | 8179897 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568551976 | Samuel H Sim | Dentist | 1151 Cornwall Rd, Suite #3, Lebanon, PA 17042-7233 | 2006-10-12 |
| Street Address |
2415 NE 134TH STREET SUITE 205 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| 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 |
|---|---|---|---|---|
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1255656716 | Eric Mikkonen Nordstrom | Internal Medicine | 700 Ne 87th Ave Ste 310, Vancouver, WA 98664 | 2010-03-28 |
| 1992980213 | Joy Shan-fong Chen | Internal Medicine | 501 Se 172nd Ave Ste 240, Vancouver, WA 98684-9542 | 2008-01-05 |
| 1417968256 | Joseph Y Chang | Internal Medicine | 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | 2006-08-10 |
| 1285668822 | Son T Do | Internal Medicine | 2415 Ne 134th St, Suite 205, Vancouver, WA 98686-3025 | 2006-07-10 |
| 1952301277 | Jonathan R Sachs | Internal Medicine | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2005-07-28 |
| 1073802773 | Peter R Caruana | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2011-04-04 |
| 1154647584 | David Sprague | Internal Medicine | 700 Ne 87th Ave, Suite 310, Vancouver, WA 98664-1913 | 2010-04-09 |
| 1811139256 | John Randles | Internal Medicine | 2525 Ne 139th St, Ste 250, Vancouver, WA 98686-2719 | 2009-03-31 |
| 1417196833 | Jaime Jose Wilson-chiru | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2009-02-09 |
| Find all providers in VANCOUVER | ||||
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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.