DR. JUNG GOOK LIM (NPI# 1598985434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598985434 |
| Entity Type | Individual |
| Full Name | DR. JUNG GOOK LIM |
| Credential | M.D. |
| Practice Address |
11166 Fairfax Blvd Suite 105 Fairfax VA 22030-5025 |
| Practice Telephone | 7032773360 |
| Practice Fax Number | 7032773370 |
| Mailing Telephone | 7032773360 |
| Mailing Fax Number | 7032773370 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2015-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Q0103 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
11166 FAIRFAX BLVD SUITE 105 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669423372 | State of The Art Rehab, Inc. | Physical Medicine & Rehabilitation | 11166 Fairfax Blvd, Suite 202, Fairfax, VA 22030-5017 | 2006-05-15 |
| 1760956163 | Sarah Abdel-wahab | Psychologist | 11166 Fairfax Blvd, Fairfax, VA 22030-5017 | 2019-01-18 |
| 1326432964 | Hyosun Schluge | Nurse Practitioner | 11166 Fairfax Blvd, #105, Fairfax, VA 22030-5017 | 2015-03-20 |
| 1609201037 | Justine Simpson | Psychologist | 11166 Fairfax Blvd, Suite 207, Fairfax, VA 22030-5017 | 2013-09-04 |
| 1669714903 | Bridges Therapy and Wellness Center, LLC | Psychologist | 11166 Fairfax Blvd, Suite 207, Fairfax, VA 22030-5017 | 2013-03-25 |
| 1306109590 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 11166 Fairfax Blvd, Suite 105, Fairfax, VA 22030-5017 | 2012-06-21 |
| 1336375450 | Su Min Ko | Physical Medicine & Rehabilitation | 11166 Fairfax Blvd, Suite 105, Fairfax, VA 22030-5017 | 2009-06-03 |
| 1871657080 | Martha M Gillis | Psychologist | 11166 Fairfax Blvd, Suite 203, Fairfax, VA 22030-5017 | 2006-12-21 |
| 1730277963 | Kalpana Shriprakash Trivedi | Dentist | 11166 Fairfax Blvd, #400, Fairfax, VA 22030-5017 | 2006-10-11 |
| 1831108125 | Anita Zappone | Clinical Nurse Specialist | 11166 Fairfax Blvd, 405, Fairfax, VA 22030-5017 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| 1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
| 1124414164 | Richard Monti Jr. | Psychiatry & Neurology | 3020 Hamaker Ct Ste 400, Fairfax, VA 22031-2231 | 2015-04-07 |
| 1609293562 | Hannah Walters | Psychiatry & Neurology | 3580 Joseph Siewick Dr Ste 206, Fairfax, VA 22033-1764 | 2014-03-27 |
| 1447446059 | Roger A Snyder Md | Psychiatry & Neurology | 8303 Arlington Blvd Ste 202, Fairfax, VA 22031 | 2007-09-18 |
| 1104300300 | Nova Neurosciences LLC | Psychiatry & Neurology | 3022 Williams Dr Ste 100, Fairfax, VA 22031-4600 | 2018-09-24 |
| 1851725345 | Neurology and Sleep Care of Northern Virginia,p.c. | Psychiatry & Neurology | 8316 Arlington Blvd Ste 650, Fairfax, VA 22031-5216 | 2013-09-03 |
| 1881868123 | Hilary Newgen | Psychiatry & Neurology | 12011 Lee-jackson Memorial Highway, Penderbrook Medical Center, Fairfax, VA 22033-3310 | 2008-04-17 |
| 1538352430 | Randolph R Stephenson | Psychiatry & Neurology | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 | 2007-08-23 |
| 1235335993 | Matthew Robert Churchill | Psychiatry & Neurology | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 | 2007-06-21 |
| Find all providers in FAIRFAX | ||||
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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.