GEORGE S KIM (NPI# 1528068475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528068475 |
| Entity Type | Individual |
| Full Name | GEORGE S KIM |
| Credential | MD |
| Practice Address |
600 East Blvd Elkhart IN 46514-2483 |
| Mailing Address |
4755 Ameritech Dr Suite A South Bend IN 46628-9120 |
| Practice Telephone | 5742942621 |
| Practice Fax Number | 5742731137 |
| Mailing Telephone | 5742712558 |
| Mailing Fax Number | 5742731137 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0159032 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000336004 | 01 |
| IN | RAIL ROAD MEDICARE | P00203877 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508906132 | George Gi-min Kim | Internal Medicine | 2536 Lynn Rd, Suite B, Tryon, NC 28782-7875 | 2007-02-06 |
| 1316936040 | George Paik Kim | Internal Medicine | 2150 Pennsylvania Ave Nw Ste 8-416, Washington, DC 20037-3201 | 2005-10-15 |
| 1215249230 | George Kim | Pathology | 300 Randall Rd, Geneva, IL 60134-4200 | 2010-07-07 |
| 1285889444 | George R Kim | Pediatrics | 3501 Saint Paul St, 729, Baltimore, MD 21218-2703 | 2008-12-01 |
| 1548280605 | George C. Kim | Internal Medicine | 2650 Ridge Ave, Suite 3213, Evanston, IL 60201-1718 | 2006-07-20 |
| Street Address |
600 EAST BLVD |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253539 | Abuzafar M. Arif | Internal Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2005-05-23 |
| 1093316176 | Gabriel Lewis | Student in an Organized Health Care Education/Training Program | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-11-04 |
| 1003426701 | Jess Lufkin | Registered Nurse | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-08-06 |
| 1417570276 | Katherine Albright | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-05-27 |
| 1619590809 | Mary E Wendt | Dietitian, Registered | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-05-21 |
| 1457970857 | Patricia Rose Dimarzio | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-04-15 |
| 1043839004 | Darra Lynn Cover | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-04-10 |
| 1518586510 | Amy Kehlenbeck Bell | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-04-10 |
| 1558980458 | Elizabeth Langton | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2483 | 2020-04-10 |
| 1902425903 | Kevin Knaus | Pharmacist | 600 East Blvd, Elkhart, IN 46514-2499 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396785903 | Tanya Jan Pittman Navarrette | Emergency Medicine | 445 Hilltop, Elkhart, KS 67950 | 2006-06-08 |
| 1164414173 | Eugene Huang | Emergency Medicine | 900 Johnson Street, Elkhart, IN 46514 | 2005-08-16 |
| 1396228177 | The Axon Group, Ltd. | Emergency Medicine | 700 E Beardsley Ave Ste 100, Elkhart, IN 46514-3365 | 2018-09-08 |
| 1609169135 | Adam Charles Losch | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2011-05-17 |
| 1982915476 | Katharine Withorn | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2010-06-29 |
| 1265753610 | Halsey Anne Heinselman | Emergency Medicine | 600 East Blvd, Emergency Department, Elkhart, IN 46514-2483 | 2010-06-21 |
| 1336460732 | Jason Paul Graber | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2010-06-20 |
| 1245556349 | Phillip Edward Schafer | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2010-04-14 |
| 1275859506 | Megan Mcgrew Koenig | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514 | 2010-04-12 |
| 1679758684 | Andre Nathan Hirschler | Emergency Medicine | 600 East Blvd, Elkhart, IN 46514-2483 | 2008-01-09 |
| Find all providers in ELKHART | ||||
Please comment or provide details below to improve the information on GEORGE S KIM.
| 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.