HAENA KIM (NPI# 1578088696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578088696 |
| Entity Type | Individual |
| Full Name | HAENA KIM |
| Credential | CRNA |
| Practice Address |
7600 Central Ave Philadelphia PA 19111-2442 |
| Mailing Address |
1421 S Bouvier St Philadelphia PA 19146-4724 |
| Practice Telephone | 2157282000 |
| Mailing Telephone | 2672699292 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 117351 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275799124 | Haena Kim | Otolaryngology | 106 La Casa Via, Suite 200, Walnut Creek, CA 94598-3086 | 2008-07-31 |
| Street Address |
7600 CENTRAL AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902206 | Jeanes Hospital | General Acute Care Hospital | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2005-06-15 |
| 1356981443 | Temple University Hospital, Inc | General Acute Care Hospital | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2020-01-07 |
| 1205472461 | Dana Pieretti | Nurse Practitioner | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2019-11-22 |
| 1154962413 | Kendra Anne Petruny | Physician Assistant | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2019-10-07 |
| 1497234983 | Melinda Susan Brown | Physician Assistant | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2018-08-07 |
| 1780111377 | Sheila Bird | Nurse Practitioner | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2017-05-15 |
| 1063866101 | Melissa Lacombe | Family Medicine | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2016-04-14 |
| 1215392378 | Temple Physicians Inc | Urology | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2015-12-16 |
| 1962870931 | Michael Squillace | Nurse Anesthetist, Certified Registered | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2015-09-09 |
| 1740666833 | Rafael Arturo Nones Pena | Internal Medicine | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2015-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1184139248 | Sean Hanna | Nurse Anesthetist, Certified Registered | 736 Pine St Unit C, Philadelphia, PA 19106-4005 | 2017-12-11 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1174900591 | Gregory J Nordick | Nurse Anesthetist, Certified Registered | 1035 Lombard St # 10, Philadelphia, PA 19147-1262 | 2015-05-05 |
| 1003200809 | Joseph Clair | Nurse Anesthetist, Certified Registered | 1719 Spruce St Apt 4, Philadelphia, PA 19103-6135 | 2015-03-19 |
| 1033521406 | Anne Patricia Gibson | Nurse Anesthetist, Certified Registered | 1222 Arch St, Apt. # 508, Philadelphia, PA 19107-2816 | 2014-05-20 |
| 1326480484 | Anne James Anithottam | Nurse Anesthetist, Certified Registered | 9770 Susan Rd, Philadelphia, PA 19115-2928 | 2013-07-17 |
| 1598002008 | Greg Pedegana | Nurse Anesthetist, Certified Registered | 785 N Judson St, Philadelphia, PA 19130-2507 | 2013-01-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.