SUNGJUNE KIM (NPI# 1407170277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407170277 |
| Entity Type | Individual |
| Full Name | SUNGJUNE KIM |
| Credential | M.D. PH.D. |
| Practice Address |
12901 Bruce B Downs Blvd # 41 Moffitt Cancer Center Tampa FL 33612-4742 |
| Mailing Address |
12902 Usf Magnolia Dr Moffitt Cancer Center Tampa FL 33612-9416 |
| Practice Telephone | 8138447995 |
| Mailing Telephone | 8137454673 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2015-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
TRN16450 | FL | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12901 BRUCE B DOWNS BLVD # 41 MOFFITT CANCER CENTER |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225471022 | Kyle Jay Stephens | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-10 |
| 1124361753 | Jesse Vincent Dubey | Emergency Medicine | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-02 |
| 1831432418 | Lindsey Marie Joseph | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-01 |
| 1417290206 | Marcela Fernandes Chiste | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-01 |
| 1174866149 | Ian Michael Martin | Pathology | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-28 |
| 1518200609 | Moris Laca | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-27 |
| 1558603761 | Alexander John Boyle | Urology | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-26 |
| 1942542014 | Onjin Kim | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-03-26 |
| 1386904522 | Darren Kendrick Adderly II | Internal Medicine | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2012-05-22 |
| 1982961249 | Afshan Idrees | Pathology | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2012-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649682 | Margely Carrion | Student in an Organized Health Care Education/Training Program | 4931 Town N Country Blvd, Tampa, FL 33615-4640 | 2020-11-03 |
| 1699374785 | Meghan Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 6621 Canopy Lakes Ct Apt 402, Tampa, FL 33625-4174 | 2020-10-20 |
| 1578162947 | Hayly Alexandrea Babcock | Student in an Organized Health Care Education/Training Program | 936 S Howard Ave Unit 305, Tampa, FL 33606-2492 | 2020-10-18 |
| 1821605023 | Jenna Vachon | Student in an Organized Health Care Education/Training Program | 7413 S West Shore Blvd, Tampa, FL 33616-2818 | 2020-09-30 |
| 1255947131 | Jesse Wood | Student in an Organized Health Care Education/Training Program | 124 S Morgan St Unit 1123, Tampa, FL 33602-5325 | 2020-09-16 |
| 1053925321 | Miranda Nunez | Student in an Organized Health Care Education/Training Program | 2806 W Powhatan Ave, Tampa, FL 33614-6039 | 2020-09-03 |
| 1114536141 | Natalie Michelle Fernandez | Student in an Organized Health Care Education/Training Program | 3107 N Perry Ave, Tampa, FL 33603-5346 | 2020-07-27 |
| 1215552112 | Yaimara Pena | Student in an Organized Health Care Education/Training Program | 10134 Lake Oak Cir, Tampa, FL 33624-5214 | 2020-06-16 |
| 1538784780 | Kristen N Moeller | Student in an Organized Health Care Education/Training Program | 6119 D and J Dr, Tampa, FL 33625-3264 | 2020-06-13 |
| 1548884513 | Bassam Aysheh | Student in an Organized Health Care Education/Training Program | 10350 Rosemount Dr, Tampa, FL 33624-5122 | 2020-06-04 |
| Find all providers in TAMPA | ||||
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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.