MR. BEOMJUNE B KIM (NPI# 1598931735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598931735 |
| Entity Type | Individual |
| Full Name | MR. BEOMJUNE B KIM |
| Credential | DMD, MD, FACS |
| Practice Address |
10109 E. 79th Street Tulsa OK 74133 |
| Practice Telephone | 9182865000 |
| Practice Fax Number | 9182497514 |
| Mailing Telephone | 9182865000 |
| Mailing Fax Number | 9182497514 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 34607 | OK | Allopathic & Osteopathic Physicians |
| N | 204E00000X | Oral & Maxillofacial Surgery | MD.205951 | LA | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
34607 | OK | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
34607 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
10109 E. 79TH STREET |
| City | TULSA |
| State | OK |
| Zip Code | 74133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019304 | Rodney J Beasley | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2005-08-09 |
| 1942729546 | Jana Lynn Chavous | Nurse Practitioner | 10109 E. 79th Street, Tulsa, OK 74133-4564 | 2017-09-14 |
| 1730599598 | Douglas Ken Andersen | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2014-05-02 |
| 1295040806 | Issam Abdelkarim Hussein Alawin | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2010-08-09 |
| 1700019429 | Lori M Ormsby | Clinical Nurse Specialist | 10109 E. 79th Street, Tulsa, OK 74133 | 2009-08-27 |
| 1003063173 | Peter Ungjo Baik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10109 E. 79th Street, Cancer Treatment Centers of America, Tulsa, OK 74133 | 2008-08-20 |
| 1841485216 | Asha Karippot | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2007-09-10 |
| 1588858914 | Sudheer V Nambiar | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2007-08-29 |
| 1821115304 | Elesyia D. Outlaw | Radiology | 10109 E. 79th Street, Tulsa, OK 74133 | 2007-03-22 |
| 1588717227 | Pragatheeshwar Thirunavukarasu | Surgery | 10109 E. 79th Street, Tulsa, OK 74133 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629151188 | Eastern Oklahoma Oral Maxillofacial Surgeons | Oral & Maxillofacial Surgery | 2950 S Elm Place, Suite 340, Broken Arrow, OK 74012 | 2006-10-20 |
| 1124133061 | Lester Lyman Cowden IIi | Oral & Maxillofacial Surgery | 3100 W Britton Rd, Suite A, Oklahoma City, OK 73120-2036 | 2006-08-20 |
| 1124050208 | Alan Akio Miyake | Oral & Maxillofacial Surgery | 1201 N. Stonewall Ave Dcsb 206, Oklahoma City, OK 73117-1214 | 2006-07-07 |
| 1821131731 | Shawne Higashi | Oral & Maxillofacial Surgery | 1201 N Stonewall Ave, Room 206, Oklahoma City, OK 73117-1214 | 2007-02-14 |
| 1518000421 | Shawn B Davis | Oral & Maxillofacial Surgery | 1201 N Stonewall Ave, Room 206, Oklahoma City, OK 73117-1214 | 2007-02-14 |
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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.