JEONG H KIM (NPI# 1619986437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619986437 |
| Entity Type | Individual |
| Full Name | JEONG H KIM |
| Credential | M.D. |
| Practice Address |
1401 S Beretania St Ste 320 Honolulu HI 96814-1872 |
| Mailing Address |
587 Moaniala St Honolulu HI 96821-2571 |
| Practice Telephone | 8084899479 |
| Practice Fax Number | 9496555930 |
| Mailing Telephone | 8084899479 |
| Mailing Fax Number | 9496555930 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD-16105 | HI | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
AFE73901 | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
54642 | WI | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD00047928 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 9275116 | 01 | |
| WI | DEA - NONMILITARY | FK0627096 | 01 |
| WA | LABOR & INDUSTRIES | 227617 | 01 |
| WA | 8501496 | 05 | |
| WA | DEA - MILITARY ONLY. | BK8848523 | 01 |
| REGENCE BLUE SHIELD | 9185KI | 01 | |
| HI | DEA | FK1974181 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821634270 | Jeong Moon Kim | Technician/Technologist | 4200 Chino Hills Pkwy Ste 810, Chino Hills, CA 91709-3785 | 2019-11-20 |
| 1578778825 | Jeong Doo Kim | Dentist | 4000 Tyler St Ste A, Riverside, CA 92503-3458 | 2007-05-11 |
| 1861591786 | Jeong H. Kim | Internal Medicine | 11812 N Creek Pkwy N Ste 202, Bothell, WA 98011 | 2006-09-21 |
| 1184652026 | Jeong J Kim | Nurse Practitioner | 9332 Bridgeport Way Sw, Lakewood, WA 98499-1569 | 2006-06-29 |
| 1053930537 | Jeong Min Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-14 |
| 1750768107 | Jeong Kim | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2015-05-05 |
| 1124369285 | Jeong I Kim | Pharmacist | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2013-03-13 |
| 1326270224 | Jeong Ai Kim | Psychiatry & Neurology | 9310 Sierra Ave, Fontana, CA 92335-5711 | 2009-08-12 |
| 1144439720 | Jeong E. Kim | Dentist | 450 S Glendora Ave, Ste. 106, West Covina, CA 91790-3066 | 2007-05-21 |
| 1447383401 | Jeong Un Kim | Acupuncturist | 545 S Alvarado St, #b, Los Angeles, CA 90057-2903 | 2007-03-13 |
| Street Address |
1401 S BERETANIA ST STE 320 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| 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 |
|---|---|---|---|---|
| 1952744484 | Gavin H Park | Internal Medicine | 550 S Beretania St Ste 501, Honolulu, HI 96813-2496 | 2013-04-15 |
| 1508100413 | Stephen K. Buto, Md, Inc | Internal Medicine | 1329 Lusitana St Ste 105, Honolulu, HI 96813-2401 | 2012-11-15 |
| 1871618561 | Neal T Shimoda M D Inc | Internal Medicine | 321 N Kuakini St Ste 503, Honolulu, HI 96817-2390 | 2007-03-20 |
| 1346300845 | Rodney M Kazama Md Inc | Internal Medicine | Queens Pob I, 1380 Lusitana St 409, Honolulu, HI 96813-2440 | 2006-12-12 |
| 1457411829 | Takakazu Fukumura | Internal Medicine | 512 Ahakea Street, Honolulu, HI 96816-4758 | 2006-12-08 |
| 1215004775 | Warren I. Ono, M.d., Inc. | Internal Medicine | 321 N Kuakini St Ste 714, Honolulu, HI 96817-2362 | 2006-11-29 |
| 1306866207 | Ankur Jain | Internal Medicine | 2226 Liliha St Ste 405, Honolulu, HI 96817-1605 | 2006-07-20 |
| 1518993229 | Russell Yang | Internal Medicine | 1650 Liliha St Ste 101, Honolulu, HI 96817-3169 | 2006-06-24 |
| 1093751166 | Warren I Ono | Internal Medicine | Kuakini Medical Plaza, 321 N Kuakini St Ste#714, Honolulu, HI 96817 | 2006-06-20 |
| 1891758033 | Anthony Kuo-chao Chiu | Internal Medicine | 1507 S King St, Suite 102, Honolulu, HI 96826-1930 | 2006-04-10 |
| Find all providers in HONOLULU | ||||
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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.