JOHN S KIM (NPI# 1427123900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427123900 |
| Entity Type | Individual |
| Full Name | JOHN S KIM |
| Credential | MD |
| Practice Address |
4303 Victory Dr Austin TX 78704-8870 |
| Practice Telephone | 5124623627 |
| Practice Fax Number | 5124623414 |
| Mailing Telephone | 5124623627 |
| Mailing Fax Number | 5124623414 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K2051 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942132 | John Minsung Kim | Acupuncturist | 2 N 6th Pl Apt 6n, Brooklyn, NY 11249-3397 | 2020-08-13 |
| 1437711207 | John Kim | Dentist | 21 White Bridge Rd Ste 111, Nashville, TN 37205-1443 | 2019-07-02 |
| 1306316039 | John S Kim | Technician | 217 N 21st St, Las Vegas, NV 89101-4503 | 2018-11-26 |
| 1821441551 | John H Kim | Registered Nurse | 12140 Monument Dr Unit 464, Fairfax, VA 22033-5518 | 2016-07-18 |
| 1912351941 | John Hyun-suk Kim | Dentist | 901 Moraga Rd Ste B, Lafayette, CA 94549-4567 | 2016-04-15 |
| 1831556117 | John Kim | Dentist | 10011 Bridgeport Way Sw, Ste 700, Lakewood, WA 98499-2332 | 2016-01-18 |
| 1184968703 | John J Kim | Acupuncturist | 20331 Allport Ln, Huntington Beach, CA 92646-5101 | 2012-11-20 |
| 1699039792 | John Minkyu Kim | Dentist | 618th Dental Co. Usag Humphreys, Carius Dental Clinic, Unit # 15660, Bldg # P3020, Apo, AP 96271-5660 | 2012-07-03 |
| 1598032559 | John Hakkyun Kim | Family Medicine | 3195 Harbor Blvd Ste 3, Costa Mesa, CA 92626-2514 | 2011-11-18 |
| 1811279722 | John Hoon Chul Kim | Pharmacist | 101 Pointe Dr, Unit 102, Northbrook, IL 60062-1001 | 2011-09-16 |
| Street Address |
4303 VICTORY DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-8870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760479059 | Nathan Henry Pekar | Family Medicine | 4303 Victory Dr, Austin, TX 78704-7507 | 2005-10-01 |
| 1255841706 | Emily Cuyler | Nurse Practitioner | 4303 Victory Dr, Austin, TX 78704-7507 | 2017-10-10 |
| 1205362555 | Shelley Hardin Salinas | Physical Therapist | 4303 Victory Dr, Austin, TX 78704-7507 | 2017-05-05 |
| 1396102604 | Value Oriented Medical Clinic Pllc | Family Medicine | 4303 Victory Dr, Austin, TX 78704-7507 | 2016-01-19 |
| 1497197651 | Katharine Hope Jones | Nurse Practitioner | 4303 Victory Dr, Austin, TX 78704-7507 | 2013-07-29 |
| 1720332760 | Margaret Suzanne Stephens | Counselor | 4303 Victory Dr, Austin, TX 78704-7507 | 2012-10-30 |
| 1659639797 | Alisande Davis | Physician Assistant | 4303 Victory Dr, Austin, TX 78704-7507 | 2012-04-26 |
| 1447585385 | Elizabeth Vasquez | Nurse Practitioner | 4303 Victory Dr, Austin, TX 78704-7507 | 2009-10-09 |
| 1164655171 | Shawn R Agenbroad-elander | Nurse Practitioner | 4303 Victory Dr, Austin, TX 78704-7507 | 2009-08-25 |
| 1730311465 | Toth Enterprises II | Pharmacy | 4303 Victory Dr, Austin, TX 78704-7507 | 2009-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
| 1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
| 1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
| 1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
| 1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
| 1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
| 1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
| Find all providers in AUSTIN | ||||
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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.