DR. EDWARD D KIM (NPI# 1316948029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316948029 |
| Entity Type | Individual |
| Full Name | DR. EDWARD D KIM |
| Credential | MD |
| Practice Address |
1928 Alcoa Hwy Bldg B Suite 222 Knoxville TN 37920-1502 |
| Practice Telephone | 8653059254 |
| Practice Fax Number | 8653059716 |
| Mailing Telephone | 8653059254 |
| Mailing Fax Number | 8653059716 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2009-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 31744 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC | 3129561 | 01 |
| TN | 3709483 | 05 |
| 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 |
| 1275538076 | Edward C Kim | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| 1982248365 | Edward Kim | Pharmacist | 4949 Gosford Rd, Bakersfield, CA 93313-4992 | 2019-10-29 |
| Street Address |
1928 ALCOA HWY BLDG B SUITE 222 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821625849 | Mary Elizabeth Booker | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2020-03-27 |
| 1225665508 | Leanne Elizabeth Brechtel | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2020-03-25 |
| 1780231654 | Kelly Jane Tipton | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-08-24 |
| 1578024873 | Kristen Michelle Lilly | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-03-28 |
| 1720548662 | Sandberg Foot Health Center PC | Podiatrist | 1928 Alcoa Hwy, Building B., Suite 200, Knoxville, TN 37920-1502 | 2019-03-25 |
| 1811457872 | Laurel Pace Carbone | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-03-24 |
| 1598225617 | Elizabeth Ljuba Mirsky | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-03-24 |
| 1629565239 | Elizabeth Altizer | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2018-04-18 |
| 1093211849 | Charlotte B Mccarley | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2018-04-02 |
| 1447756416 | Shannon Marie Wentworth | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2018-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891940904 | John-paul Lamar Newport | Urology | 2001 Laurel Ave Ste 502, Knoxville, TN 37916-1876 | 2008-11-18 |
| 1194988436 | Renee Bailey Quillin | Urology | 2001 Laurel Ave Ste 508, Knoxville, TN 37916-1810 | 2008-07-08 |
| 1669416442 | Tennessee Urology Associates, Pllc | Urology | 9041 Executive Park Dr Ste 112, Knoxville, TN 37923-4603 | 2006-06-15 |
| 1831185107 | Garrett Henry Lischer | Urology | 9245 Park West Blvd, Knoxville, TN 37923-4425 | 2005-09-22 |
| 1619976156 | Steven R Mynatt | Urology | 2805 W Governor John Sevier Hwy, Knoxville, TN 37920-5552 | 2005-07-18 |
| 1760840763 | Better Life Medical PC | Urology | 1328 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2016-02-04 |
| 1811378219 | Matthew Sorensen | Urology | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2015-06-11 |
| 1043573355 | Kyle B Basham | Urology | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2012-06-21 |
| 1720382336 | Men's Health Management of East Tennessee | Urology | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2010-12-23 |
| 1407167018 | James M Bienvenu | Urology | 1928 Alcoa Hwy, Mob B Suite 222, Knoxville, TN 37920-1504 | 2010-06-29 |
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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.