EDWARD KIM (NPI# 1497201701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497201701 |
| Entity Type | Individual |
| Full Name | EDWARD KIM |
| Practice Address |
1400 N Interstate 35 Ste 2.230 Austin TX 78701 |
| Mailing Address |
4646 Mueller Blvd Apt 3020 Austin TX 78723-3395 |
| Practice Telephone | 5628413534 |
| Mailing Telephone | 5628413534 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd., School of Medicine, Portland, OR 97239 | 5034942998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700084886 | Edward S Kim | Dentist | 9110 Railroad Dr Ste 201, Manassas Park, VA 20111-7041 | 2007-07-10 |
| 1457567836 | Edward Tae Kim | General Practice | 658 N Black Horse Pk, Runnemede, NJ 08078 | 2007-05-15 |
| 1679619092 | Edward T Kim | Internal Medicine | 2222 East St Ste 305, Concord, CA 94520-2066 | 2007-01-30 |
| 1982779013 | Edward Yungjung Kim | Dentist | 5205 S. Durango Dr. #103, Las Vegas, NV 89113 | 2006-11-22 |
| 1992807366 | Edward S Kim | Dentist | 191 Hamburg Turnpike, Pompton Lakes, NJ 07442 | 2006-09-05 |
| 1346264595 | Edward H. Kim | Podiatrist | 1245 Wilshire Blvd Ste 202, Los Angeles, CA 90017-4810 | 2006-07-27 |
| 1952369548 | Edward Kim | Internal Medicine | 7 Community Dr, Buffalo, NY 14225-2523 | 2006-05-03 |
| 1316948029 | Edward D Kim | Urology | 1928 Alcoa Hwy, Bldg B Suite 222, Knoxville, TN 37920-1502 | 2005-08-03 |
| 1275538076 | Edward C Kim | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| 1982248365 | Edward Kim | Pharmacist | 4949 Gosford Rd, Bakersfield, CA 93313-4992 | 2019-10-29 |
| Street Address |
1400 N INTERSTATE 35 STE 2.230 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518608 | Joshua Farnsworth | Emergency Medicine | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2020-05-03 |
| 1164043238 | Jordann Dhuse | Emergency Medicine | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2020-04-30 |
| 1780241638 | Brian Daniel Albert | Emergency Medicine | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2019-05-28 |
| 1902461148 | Kevin Wilcox | Emergency Medicine | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2019-05-02 |
| 1760975569 | Martin Musuruana | Emergency Medicine | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2018-06-07 |
| 1194222331 | Nora Jane Demchur | Emergency Medicine | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2018-04-12 |
| 1912404724 | Laura E Haselden | Emergency Medicine | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2018-04-09 |
| 1497252456 | Melissa Lee Miller | Emergency Medicine | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2018-04-06 |
| 1811493380 | Bertin Denova | Emergency Medicine | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2018-04-03 |
| 1043715808 | Lindsey Steinbeck | Student in an Organized Health Care Education/Training Program | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701-1926 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1114575792 | Shyneice Lasha Gaddis | Behavior Technician | 100 Congress Ave Suite 2000, Austin, TX 78701 | 2019-08-28 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1538726195 | Zahra Virginia Cain-akbar | Student in an Organized Health Care Education/Training Program | Ut Dell Medical, 1500 Red River St, Austin, TX 78701 | 2019-05-20 |
| 1457918021 | Sara Lugonjic | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 | 2019-05-20 |
| Find all providers in zip 78701 | ||||
| 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 |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1144847773 | Rachael Tillman | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd Fl 2, Austin, TX 78723-3079 | 2020-06-30 |
| 1497370639 | Patrick Dennis Scholl | Student in an Organized Health Care Education/Training Program | 5205 Backtrail Dr, Austin, TX 78731-2668 | 2020-06-13 |
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
| 1952924276 | Parisa Khosravi | Student in an Organized Health Care Education/Training Program | 1400 N Interstate 35 # Cec300, Austin, TX 78701-1926 | 2020-05-20 |
| 1659993657 | Ayan Monpara | Student in an Organized Health Care Education/Training Program | 6007 Duncanville Pass, Austin, TX 78745-3223 | 2020-05-12 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1215566856 | Vignesh Ramachandran | Student in an Organized Health Care Education/Training Program | 2110 Cliffs Edge Dr, Austin, TX 78733-6014 | 2020-04-06 |
| 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.