KYUNG H KIM (NPI# 1619974656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619974656 |
| Entity Type | Individual |
| Full Name | KYUNG H KIM |
| Credential | M.D. |
| Practice Address |
100 Central St 4th Floor Worcester MA 01608-1209 |
| Practice Telephone | 5088310708 |
| Practice Fax Number | 5088310272 |
| Mailing Telephone | 5088310708 |
| Mailing Fax Number | 5088310272 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2013-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
212007 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0144291 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922590058 | Kyung Soo Kim | Acupuncturist | 170 Evergreen Rd Apt 5a, Edison, NJ 08837-2444 | 2018-06-04 |
| 1265976898 | Kyung M Kim | Occupational Therapist | 14390 Uniform Dr, Centreville, VA 20121-2321 | 2016-12-16 |
| 1013364421 | Kyung Sook Kim | Anesthesiology | 5 Floral Park Ct, Savoy, IL 61874-9761 | 2016-05-16 |
| 1750761995 | Kyung Kim | Pediatrics | 251 Columbia Club Dr E, Blythewood, SC 29016-9479 | 2015-06-03 |
| 1902139934 | Kyung Sik Kim | Acupuncturist | 3150 Southwycke Ter, Fremont, CA 94536-1960 | 2009-09-09 |
| 1497980437 | Kyung Taek Kim | Acupuncturist | 1481 S King Street, #106, Honolulu, HI 96814 | 2009-05-20 |
| 1134344419 | Kyung Hee Kim | Social Worker | 12356 Donovan Cir, Austin, TX 78753-7220 | 2007-04-13 |
| 1831210335 | Kyung Han Kim | Physical Therapist | 4304 Evergreen Ln Ste 102, Annandale, VA 22003-3216 | 2007-04-02 |
| 1790816627 | Kyung Ja Kim | Acupuncturist | 4482 Barranca Pkwy Ste 248, Irvine, CA 92604-4770 | 2007-03-09 |
| 1922140425 | Kyung Il Kim | Dentist | 214 20 45 Road, Bayside, NY 11361-3338 | 2007-02-12 |
| Street Address |
100 CENTRAL ST 4TH FLOOR |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701312 | Adult Medicine Physicians, LLC | Internal Medicine | 100 Central St, Ste 4, Worcester, MA 01608-1209 | 2005-06-21 |
| 1144211681 | Worcester Dermatology Associates, P.C. | Specialist | 100 Central St, Worcester, MA 01608-1209 | 2005-11-03 |
| 1427056795 | Kelly J Ocallahan | Internal Medicine | 100 Central St, Floor 4, Worcester, MA 01608-1209 | 2005-07-12 |
| 1497753958 | New England Gastroenterology Associates, PC | Internal Medicine | 100 Central St, 4th Floor, Worcester, MA 01608-1209 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629125448 | Srikant Muddana | Internal Medicine | 328 Shrewsbury St Ste 350, Worcester, MA 01604-5465 | 2007-01-04 |
| 1487072302 | Worcester Gastroenterology Partners Inc | Internal Medicine | 123 Summer St, 385, Worcester, MA 01608-1216 | 2014-03-29 |
| 1790046092 | Neil B Marya | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2012-06-04 |
| 1679868541 | Edward Belkin | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2011-06-18 |
| 1558655696 | Nooshin Hosseini | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2011-06-07 |
| 1528383403 | Avik Sarkar | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2010-04-02 |
| 1265603948 | Isabel A Zacharias | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2008-03-20 |
| 1053501080 | Deepika Devuni | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2007-07-26 |
| 1134326218 | Dmitry Finkelberg | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2007-07-02 |
| 1912045972 | Associates In Gastroenterology PC | Internal Medicine | 10 Winthrop St, Suite 212, Worcester, MA 01604-4435 | 2007-02-02 |
| Find all providers in WORCESTER | ||||
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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.