CARL IN KIM (NPI# 1578767182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578767182 |
| Entity Type | Individual |
| Full Name | CARL IN KIM |
| Credential | M.D. |
| Practice Address |
300 University Blvd Bldg A Round Rock TX 78665-1032 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 5125090200 |
| Mailing Telephone | 2547248800 |
| Mailing Fax Number | 2547247603 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2019-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R6030 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A99670 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
R6030 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A996700 | 05 | |
| CA | RAILROAD MEDICARE | P00480248 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 Sullivan Ave, Daly City, CA 940152200 | 6509916503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215306048 | Carl Kim | Acupuncturist | 25418 Northern Blvd Ste 4, Little Neck, NY 11362-1451 | 2015-09-22 |
| Street Address |
300 UNIVERSITY BLVD BLDG A |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841580 | Andrew A Stoebner | Orthopaedic Surgery | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2005-06-15 |
| 1104339670 | Andrew Scott Barner | Nurse Practitioner | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2017-11-07 |
| 1699290296 | Jason Smith | Physician Assistant | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2017-08-04 |
| 1205370624 | Disha Miyani | Nurse Practitioner | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2016-12-05 |
| 1780067744 | David William Reynolds | Nurse Practitioner | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2015-07-08 |
| 1982099495 | Prashant Gabani | Radiology | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2015-04-01 |
| 1265866180 | Cyndi Michelle Reynolds | Nurse Practitioner | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2013-08-27 |
| 1992051072 | Judith Kwarteng Amaning | Internal Medicine | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2012-07-26 |
| 1548566714 | Jennifer Ann Boos | Physician Assistant | 300 University Blvd Bldg A, Round Rock, TX 78665 | 2011-02-04 |
| 1790086866 | Samantha L Alvarez | Physician Assistant | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2010-11-05 |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962768457 | Rajiv N Srinivasa | Radiology | 300 University Blvd, Round Rock, TX 78665-1032 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588290340 | Mission Vascular Specialists Corp | Radiology | 718 Lexington Ave Fl 1, San Antonio, TX 78212-4768 | 2020-03-12 |
| 1568095891 | Interventional Partners LLC | Radiology | 4323 N Josey Ln Ste 200, Carrollton, TX 75010-4619 | 2020-02-14 |
| 1467085795 | Interventional Partners LLC | Radiology | 400 W Arbrook Blvd Ste 320, Arlington, TX 76014-3180 | 2020-02-14 |
| 1447883772 | Interventional Partners LLC | Radiology | 3400 Interstate Highway 30 Ste 180, Mesquite, TX 75150-2601 | 2020-02-14 |
| 1649811571 | Amh Ir LLC | Radiology | 4425 Bluestem St, Flower Mound, TX 75028-1123 | 2019-10-02 |
| 1497300081 | Minimally Invasive Surgical Pllc | Radiology | 4532 N Mesa St Ste B2, El Paso, TX 79912-6286 | 2019-08-09 |
| 1922666189 | Interventional Partners, LLC | Radiology | 251 W Medical Center Blvd Ste 200, Webster, TX 77598-4242 | 2019-06-03 |
| 1922563410 | Virtx LLC | Radiology | 13284 Bigelow Ln, Frisco, TX 75035-0782 | 2019-02-08 |
| 1831688779 | Humble Interventional Partners Md Pa | Radiology | 8411 Fm 1960 Bypass Rd W, Humble, TX 77338-4013 | 2018-05-07 |
| 1386163780 | Sunrise Vascular Pllc | Radiology | 2715 Boca Chica Blvd Ste 3, Brownsville, TX 78521-3676 | 2017-09-18 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
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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.