MICHAEL KIM (NPI# 1578751400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578751400 |
Entity Type | Individual |
Full Name | MICHAEL KIM |
Credential | MD |
Practice Address |
300 University Blvd Round Rock TX 78665-1032 |
Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
Practice Telephone | 5125090100 |
Practice Fax Number | 5122186330 |
Mailing Telephone | 2547242111 |
Mailing Fax Number | 2547247603 |
Enumeration Date | 2007-10-04 |
Last Update Date | 2016-06-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
P5397 | TX | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A104900 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346627742 | Michael Kim | Acupuncturist | 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 | 2015-05-05 |
1174945273 | Michael Jong-gyu Kim | Dentist | 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 | 2014-01-09 |
1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
1336476373 | Michael Hwangsuk Kim | Dentist | 12865 Main St, #201, Garden Grove, CA 92840-8205 | 2009-11-12 |
1861658486 | Michael Kim | Anesthesiology | 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 | 2008-08-03 |
1609076512 | Michael K Kim | Chiropractor | 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2007-07-19 |
1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
1093870198 | Michael S. Kim | Dentist | 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 | 2006-12-27 |
1295810554 | Michael Ethan Kim | Dentist | 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 | 2006-10-26 |
Street Address |
300 UNIVERSITY BLVD |
City | ROUND ROCK |
State | TX |
Zip Code | 78665-1032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215933718 | Sherard T. Houston | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2005-06-21 |
1053957084 | Leanna Zimmerman | Registered Nurse | 300 University Blvd, Round Rock, TX 78665-1032 | 2019-11-25 |
1053805069 | Scott & White Hospital - Round Rock | Durable Medical Equipment & Medical Supplies | 300 University Blvd, Bldg A, 2nd Floor, Round Rock, TX 78665 | 2018-06-22 |
1083119663 | Sangeetha Mariappan | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Round Rock, TX 78665-1032 | 2018-03-27 |
1891299806 | Stephen Fuentes | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Round Rock, TX 78665-1032 | 2018-03-23 |
1427552579 | Nicole Catherine Ryman | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Round Rock, TX 78665-1032 | 2018-03-22 |
1023512019 | Sean Daniel Motl | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Baylor Scott & White Medical Center, Round Rock, TX 78665 | 2018-03-22 |
1992209126 | Jennifer Nielsen Fan | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Baylor Scott & White Medical Center, Round Rock, TX 78665-1032 | 2018-03-21 |
1679089866 | Keren Aviv Stick | Physician Assistant | 300 University Blvd, Round Rock, TX 78665-1032 | 2017-12-25 |
1043735467 | Carly Guerrero | Physical Therapist | 300 University Blvd, Round Rock, TX 78665-1032 | 2017-08-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
Find all providers in zip 78665 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366000531 | Interventional Partners, LLC | Radiology | 1650 Round Rock Ave Ste 100, Round Rock, TX 78681-4082 | 2019-06-03 |
1104899848 | Gita Rani Devi | Radiology | 1501 Clary Sage Loop, Round Rock, TX 78665 | 2006-02-13 |
1205241072 | Nathan Mielke | Radiology | 300 University Blvd, Round Rock, TX 78665-1032 | 2014-06-30 |
1669885620 | Howard Dai | Radiology | 300 University Blvd, Round Rock, TX 78665-1032 | 2014-06-08 |
1578894853 | Jing Jiang | Radiology | 300 University Blvd, Round Rock, TX 78665 | 2010-01-26 |
1811144405 | Michael Kim Do | Radiology | 300 University Blvd, Round Rock, TX 78665-1032 | 2008-08-26 |
1588844609 | Joseph Samy Ayoub | Radiology | 300 University Blvd, Round Rock, TX 78665-1032 | 2007-11-06 |
1538365747 | Jorge Luis Taboada | Radiology | 300 University Blvd, Round Rock, TX 78665-1032 | 2007-06-25 |
1578767182 | Carl In Kim | Radiology | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2007-06-14 |
1124237979 | Jeffrey Kenneth Helmcamp | Radiology | 300 University Blvd, Round Rock, TX 78665 | 2007-05-21 |
Find all providers in ROUND ROCK |
City | ROUND ROCK |
Zip Code | 78665 |
Please comment or provide details below to improve the information on MICHAEL 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.