DR. HYEWON HELEN KIM (NPI# 1376533927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376533927 |
Entity Type | Individual |
Full Name | DR. HYEWON HELEN KIM |
Credential | MD |
Practice Address |
2055 S Fremont Ave Springfield MO 65804-2206 |
Practice Telephone | 4178202468 |
Practice Fax Number | 4178207794 |
Mailing Telephone | 4178202468 |
Mailing Fax Number | 4178207794 |
Enumeration Date | 2005-10-25 |
Last Update Date | 2008-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
R4053 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 117432001 | 05 |
Street Address |
2055 S FREMONT AVE |
City | SPRINGFIELD |
State | MO |
Zip Code | 65804-2206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154733806 | Vanessa Mcconnell | Nurse Practitioner | 2055 S Fremont Ave, Ste 200, Springfield, MO 65804-2206 | 2014-05-29 |
1811284375 | Nathan Yennumi Tonlaar | Radiology | 2055 S Fremont Ave, Mercy Clinic Radiation Oncology, Chaub O'reilly Center, Springfield, MO 65804-2206 | 2011-07-06 |
1720378862 | Andria Marie Gibb | Physician Assistant | 2055 S Fremont Ave, Springfield, MO 65804-2206 | 2011-04-11 |
1073824553 | Christopher Fleighton Estes | Radiology | 2055 S Fremont Ave, Springfield, MO 65804-2206 | 2010-06-29 |
1740506419 | Logan B Lackey II | Radiology | 2055 S Fremont Ave, Suite 120, Springfield, MO 65804-2206 | 2010-04-20 |
1194041855 | Amanda Elizabeth Lackey | Radiology | 2055 S Fremont Ave, Suite 120, Springfield, MO 65804-2206 | 2010-04-20 |
1730329640 | Stephanie L Ledl | Nurse Practitioner | 2055 S Fremont Ave, Suite 1000, Springfield, MO 65804-2206 | 2009-03-05 |
1558568618 | Kimberly M Creach | Radiology | 2055 S Fremont Ave, Springfield, MO 65804-2206 | 2007-06-29 |
1477760437 | Jessica Nicole Snider | Internal Medicine | 2055 S Fremont Ave, Suite 1000, Springfield, MO 65804-2206 | 2007-05-17 |
1356485015 | Faith Fuller | Nurse Practitioner | 2055 S Fremont Ave, Suite 1000, Springfield, MO 65804-2206 | 2007-02-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
Find all providers in zip 65804 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740596105 | Kevin Forsythe | Radiology | 1457 G St, Springfield, OR 97477-4113 | 2010-08-24 |
1316961576 | Carlos A. Perez | Radiology | 2055 S Fremont, Springfield, MO 65804 | 2006-07-27 |
1023098209 | Linda Esther Bornstein | Radiology | 3350 Main St, Springfield, MA 01107-1112 | 2006-01-22 |
1578565420 | Samuel Poriza Au | Radiology | 301 N 8th St, Springfield, IL 62701-1041 | 2005-08-11 |
1316342090 | Oncology Hematology Care, Inc. | Radiology | 148 W North St, Springfield, OH 45504-2547 | 2014-10-24 |
1992124531 | Simon Aaron Brown | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-10 |
1306265327 | Adrianna Henson Masters | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-08 |
1811284375 | Nathan Yennumi Tonlaar | Radiology | 2055 S Fremont Ave, Mercy Clinic Radiation Oncology, Chaub O'reilly Center, Springfield, MO 65804-2206 | 2011-07-06 |
1083903785 | Nicholas Andrew Madden | Radiology | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-04 |
1073824553 | Christopher Fleighton Estes | Radiology | 2055 S Fremont Ave, Springfield, MO 65804-2206 | 2010-06-29 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65804 |
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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.