SOO G KIM (NPI# 1427148253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427148253 |
| Entity Type | Individual |
| Full Name | SOO G KIM |
| Credential | MD |
| Practice Address |
Mmc - Dept. of Cardiology 111 East 210th Street Bronx NY 10467 |
| Mailing Address |
16 Ross Rd Scarsdale NY 10583-4426 |
| Practice Telephone | 7189204184 |
| Mailing Telephone | 7189204184 |
| Mailing Fax Number | 7185472111 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
126752 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811368376 | Soo Kim | Pharmacist | 757 Galaxy Heights Dr, La Canada Flintridge, CA 91011-1832 | 2015-10-09 |
| 1639511546 | Soo Kim | Dietitian, Registered | 1013 Ledgemont Dr, Plano, TX 75025-3510 | 2013-07-19 |
| 1932318219 | Soo H Kim | Optometrist | 25574 Dapper Ct, Chantilly, VA 20152-6318 | 2007-05-22 |
| 1619093739 | Soo Youn Kim | Optometrist | 14147 Pipeline Ave, Chino, CA 91710-5618 | 2007-03-21 |
| 1912064429 | Soo Yew Kim | Dentist | 1717 S Hoover St, Los Angeles, CA 90006-4958 | 2007-01-03 |
| 1851475958 | Soo R. Kim | Internal Medicine | 29 W Oneida St, Oswego, NY 13126 | 2006-10-25 |
| 1376578260 | Soo Bin Kim | Dentist | 14855 Blanco Rd Ste 413, San Antonio, TX 78216-7731 | 2006-07-11 |
| 1053870618 | Soo Kim | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2019-03-13 |
| 1649736265 | Soo Jin Kim | Behavior Technician | 12443 Lewis St Ste 201, Garden Grove, CA 92840-4650 | 2019-02-19 |
| 1396271185 | Soo M Kim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2017-05-11 |
| Street Address |
MMC - DEPT. OF CARDIOLOGY 111 EAST 210TH STREET |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366531782 | Catherine A Galvin | Nurse Practitioner | Mmc - Dept. of Cardiology, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-12 |
| 1598840373 | Garet M Gordon | Internal Medicine | Mmc - Dept. of Cardiology, 111 E. 210th St., Silver Zone, Bronx, NY 10467 | 2006-10-27 |
| 1952491821 | Kevin J Ferrick | Internal Medicine | Mmc - Dept. of Cardiology, 111 East 210th Street, Bronx, NY 10467 | 2006-10-13 |
| 1467542365 | Marie Galvao | Nurse Practitioner | Mmc - Dept. of Cardiology, 3400 Bainbridge Ave., 7th Flr, Bronx, NY 10467 | 2006-10-13 |
| 1174613079 | Mark A Menegus | Internal Medicine | Mmc - Dept. of Cardiology, 111 East 210th Street, Bronx, NY 10467 | 2006-10-13 |
| 1467542266 | Richard B Neches | Internal Medicine | Mmc - Dept. of Cardiology, 3400 Bainbridge Avenue, 7th Fl, Bronx, NY 10467 | 2006-10-13 |
| 1750470092 | Jay N Gross | Internal Medicine | Mmc - Dept. of Cardiology, 111 East 210th Street, 3rd Fl., Bronx, NY 10467 | 2006-10-12 |
| 1457440703 | John D Fisher | Internal Medicine | Mmc - Dept. of Cardiology, 111 East 210th Street, Bronx, NY 10467 | 2006-10-12 |
| 1336238666 | Hiltrud S Mueller | Internal Medicine | Mmc - Dept. of Cardiology, 111 E. 210th St., Silver Zone, Bronx, NY 10467 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| 1720560741 | Dr Vezza Medical Services PC | Internal Medicine | 3594 E Tremont Ave Ste 100, Bronx, NY 10465-2032 | 2018-09-06 |
| 1558877183 | Cardiac Care of Ny | Internal Medicine | 1200 Waters Pl Ste 308, Bronx, NY 10461-2729 | 2017-12-19 |
| 1093150161 | Yufei Tang | Internal Medicine | 2426 Eastchester Rd Ste 202, Bronx, NY 10469-5950 | 2013-05-02 |
| 1659626216 | Mahek K Shah | Internal Medicine | 3400 Bainbridge Ave # Map7, Bronx, NY 10467-2404 | 2012-07-19 |
| 1598078750 | Most Sirajum Munira | Internal Medicine | 234 E 149th St, Lincoln Hospital, Ccardiology, Bronx, NY 10451 | 2010-07-16 |
| 1487821484 | Mahjabeen Rashid | Internal Medicine | 130 W Kingsbridge Rd Ste E, Bronx, NY 10468-3904 | 2008-05-09 |
| 1508931999 | Gerald Walter Neuberg | Internal Medicine | 3050 Corlear Ave # 204, Bronx, NY 10463-5180 | 2006-11-21 |
| Find all providers in BRONX | ||||
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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.