DAVID D KIM (NPI# 1396712030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396712030 |
| Entity Type | Individual |
| Full Name | DAVID D KIM |
| Credential | DPM |
| Practice Address |
103 Hurley Avenue Kingston NY 12401 |
| Practice Telephone | 8453394191 |
| Practice Fax Number | 8453393309 |
| Mailing Telephone | 8453394191 |
| Mailing Fax Number | 8453393309 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N005910 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02642928 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1578106852 | David H Kim | Dentist | 2058 Kings Cross Ln, Cordova, TN 38016-5176 | 2019-10-19 |
| 1194378877 | David S Kim | Dentist | 121 Tatham Rd, Bensalem, PA 19020-1641 | 2019-07-22 |
| 1790341691 | David Kim | Physician Assistant | 993f Johnson Ferry Rd Ste 210, Atlanta, GA 30342-1602 | 2019-05-15 |
| 1316407539 | David Kim | Behavior Technician | 6056 Delaware Park Ct, Eastvale, CA 92880-0984 | 2019-03-22 |
| 1104398593 | David Solomon Kim | Acupuncturist | 3520 147th St Ph 1f, Flushing, NY 11354-3773 | 2018-12-22 |
| 1942738935 | David Kim | Social Worker | 45 Douglass St # 3, Brooklyn, NY 11231-4716 | 2017-06-02 |
| 1841673936 | David Hoyeon Kim | Dentist | 1234 Devonshire Ln, La Habra, CA 90631-7421 | 2015-07-07 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1114318383 | David Tae Hun Kim | Dentist | 736 Tangelo Way, Fullerton, CA 92832-2630 | 2015-02-10 |
| Street Address |
103 HURLEY AVENUE |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881661619 | Douglas F Tumen | Podiatrist | 103 Hurley Avenue, Kingston, NY 12401 | 2006-03-01 |
| 1376510677 | Daniel C Longo | Podiatrist | 103 Hurley Avenue, Kingston, NY 12401 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770529208 | Leon Adley Ellman | Podiatrist | 421 Market St, Kingston, PA 18704-5442 | 2006-06-22 |
| 1881661619 | Douglas F Tumen | Podiatrist | 103 Hurley Avenue, Kingston, NY 12401 | 2006-03-01 |
| 1487624920 | Fred Lombardo | Podiatrist | 576 Wyoming Ave, Fred Lombardo PC, Kingston, PA 18704-3702 | 2006-01-26 |
| 1346249133 | Tracey G Toback | Podiatrist | 43 Grand St, Kingston, NY 12401-3933 | 2005-07-14 |
| 1184621906 | Jonathan Paul Sumber | Podiatrist | 190 Fair St, Kingston, NY 12401-4502 | 2005-07-07 |
| 1114922648 | Lanny C Pelliccia | Podiatrist | 270 Pierce St, Ste 301, Kingston, PA 18704-5141 | 2005-06-21 |
| 1710588512 | Health Quest Medical Practice, PC | Podiatrist | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-11-06 |
| 1912508714 | Health Quest Medical Practice, Px | Podiatrist | 334 Plaza Rd, Kingston, NY 12401-2975 | 2020-11-06 |
| 1366744252 | Robert L. Shmokler | Podiatrist | 421 Market St, Kingston, PA 18704-5418 | 2010-11-26 |
| 1306019856 | Lanny C. Pelliccia Dpm | Podiatrist | 270 Pierce St, Ste 301, Kingston, PA 18704-5141 | 2008-04-04 |
| Find all providers in KINGSTON | ||||
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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.