SAMUEL H KIM (NPI# 1467090324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467090324 |
| Entity Type | Individual |
| Full Name | SAMUEL H KIM |
| Credential | PA-C |
| Practice Address |
4755 Ogletown Stanton Rd Ste 5a43 Newark DE 19718-2200 |
| Practice Telephone | 3026230188 |
| Mailing Telephone | 3026230188 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C5-0001375 | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059178 | Samuel Kim | Acupuncturist | 24904 34th Ave, Little Neck, NY 11363-1407 | 2019-12-08 |
| 1952841793 | Samuel Kim | Dentist | 3441 Burritt Way, La Crescenta, CA 91214 | 2017-02-27 |
| 1295107605 | Samuel Kim | Pharmacist | 1001 E Latham Ave Ste P, Hemet, CA 92543-4435 | 2015-10-24 |
| 1902224587 | Samuel M Kim | Internal Medicine | Weill Cornell Medicine Division of Cardiology, 520 East 70th Street, Starr Pavilion 4th Floor, New York, NY 10021-0010 | 2014-04-01 |
| 1174889141 | Samuel Hyojune Kim | Emergency Medicine | One Gustave L Levy Place, Box 1264, Mount Sinai Medical Center Box 1264, New York, NY 10029 | 2012-04-04 |
| 1023310687 | Samuel Sungwon Kim | Pediatrics | 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211-2145 | 2010-12-02 |
| 1245430206 | Samuel Hun Kim | General Acute Care Hospital | 1420 Crest Vista Dr, Monterey Park, CA 91754-4643 | 2007-07-18 |
| 1992916001 | Samuel I Kim | Dentist | 8811 W Sahara Ave Ste 100, Las Vegas, NV 89117-4813 | 2007-05-24 |
| 1609917285 | Samuel I Kim | Dentist | 21580 Bear Valley Rd, B2-2, Apple Valley, CA 92308-7200 | 2007-02-08 |
| 1184771172 | Samuel Suk Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 676 N Saint Clair St Ste 2320, Chicago, IL 60611 | 2007-01-04 |
| Street Address |
4755 OGLETOWN STANTON RD STE 5A43 |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265445233 | John H Oneill Jr. | Internal Medicine | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-5854 | 2006-08-14 |
| 1548876287 | Julia Nicole Borgesi | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2020-09-18 |
| 1730705039 | Emily Elizabeth Bower | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2020-06-23 |
| 1942826698 | Christina Chen | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2020-06-18 |
| 1376164103 | Ninamari G. King | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2020-05-04 |
| 1104460393 | Megan E. Lee | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2019-10-31 |
| 1508408170 | Ashley Debonis | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2019-10-15 |
| 1447891155 | Emily Ruth Broadbent | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2019-10-03 |
| 1255981841 | Justin T Mahr | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-4250 | 2019-09-16 |
| 1619529559 | Rosemarie Mclaughlin | Physician Assistant | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647488 | Julia Siyao Yu | Physician Assistant | 541 Oakdale Rd Apt D, Newark, DE 19713-2928 | 2020-10-20 |
| 1376001990 | Kiley Dale Titus | Physician Assistant | 165 E Union St, Newark, NY 14513-1559 | 2019-03-04 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1750833646 | Rosalyn Hightower | Physician Assistant | 1213 Churchmans Rd, Newark, DE 19713-2149 | 2016-10-26 |
| 1013342757 | Leia Lavoie Collins | Physician Assistant | 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713-2072 | 2013-09-12 |
| 1447509179 | Chloe E Dickinson | Physician Assistant | 550 S College Ave Ste 115, Newark, DE 19706-1308 | 2012-09-10 |
| 1447509591 | Drew Pento | Physician Assistant | 4051 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-09-05 |
| 1568711034 | Jacqueline Pellenbarg | Physician Assistant | 4701 Ogletown Stanton Rd Ste 2100, Newark, DE 19713-7000 | 2012-08-30 |
| 1912284530 | Ian A Blizzard | Physician Assistant | 2600 Glasgow Ave Ste 124, Newark, DE 19702-4777 | 2011-11-10 |
| 1043596133 | Victoria Leicht | Physician Assistant | 537 Stanton Christiana Rd Ste 209, Newark, DE 19713-2148 | 2011-11-02 |
| Find all providers in NEWARK | ||||
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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.