MRS. SOON KIM


Address: 1516 Virginia Ranch Rd, Gardnerville, NV 89410-5794
Phone: 7757833020

MRS. SOON KIM (NPI# 1649381153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649381153
Entity Type Individual
Full Name MRS. SOON KIM
Credential M.D.
Practice Address 1516 Virginia Ranch Rd
Gardnerville
NV 89410-5794
Practice Telephone 7757833020
Practice Fax Number 7757833021
Mailing Telephone 7757833020
Mailing Fax Number 7757833021
Enumeration Date 2006-08-31
Last Update Date 2013-01-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 10696 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 100502384 05

Other Providers SOON KIM

NPI Name Taxonomy Address Enumeration
1841315231 Soon Kuyn Kim Psychiatry & Neurology 29433 Southfield Rd, Suite 201, Southfield, MI 48076-2031 2007-03-21
1023095643 Soon Ja Kim Family Medicine 5808 Main St, Elkridge, MD 21075-5105 2005-12-23
1710121074 Soon Young Kim Physical Therapist 1311 55th St, Brooklyn, NY 11219-4202 2009-04-29
1689813149 Soon Ae Kim Chiropractor 2950 Horizon Park Drive, Suite D, Suwanee, GA 30024 2009-02-06
1346200508 Soon Gum Kim Internal Medicine 1705 E 19th St, Suite 302, Tulsa, OK 74104-5405 2006-03-23
1396735551 Soon H Kim Anesthesiology 12303 Depaul Drive, Bridgeton, MO 63044 2005-10-27

Office Location

Street Address 1516 VIRGINIA RANCH RD
City GARDNERVILLE
State NV
Zip Code 89410-5794

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588608913 Roger Rogalski Md Chtd Orthopaedic Surgery 1516 Virginia Ranch Rd, Bldg. A, Suite 101, Gardnerville, NV 89410-5730 2006-06-15
1598116584 Lara Togoan Physician Assistant 1516 Virginia Ranch Rd, Gardnerville, NV 89410-5794 2016-06-30
1255641809 Celeste Marie Callinan Physician Assistant 1516 Virginia Ranch Rd, Suite 201, Gardnerville, NV 89410-5794 2010-10-18
1942340096 Melhuish & Associates PC Podiatrist 1516 Virginia Ranch Rd, Suite 101, Gardnerville, NV 89410 2007-02-07
1063596765 Victoria Lynn Melhuish Podiatrist 1516 Virginia Ranch Rd, Gardnerville, NV 89410-5730 2006-10-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750931127 Hayes Robert Wilson Physician Assistant 1107 Highway 395 North, Gardnerville, NV 89410 2019-09-17
1609361088 Douglas County and Unincorporated Towns Substance Abuse Rehabilitation Facility China Spring Youth Camp Adapt, 225 China Spring Road, Gardnerville, NV 89410 2018-06-27
1306338215 Douglas Co and Unincorporated Towns Psychiatric Residential Treatment Facility 225 China Spring Rd, Gardnerville, NV 89410 2018-06-06
1245787308 Debra M Robison Pharmacist 1363 Hwy 395 North, Raley's #109 Pharmacy, Gardnerville, NV 89410 2016-09-07
1346573268 Cynthia Suzanne Tarantino-fernandez Social Worker 1296 Bray Way, Gardnerville, NV 89410 2009-09-10
1750531398 Paul Williams Phillips Jr. Orthopaedic Surgery 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 2008-09-19
1033316054 Barbara Ellen Gould Physical Therapist 1107 Highway 395 South, Gardnerville, NV 89410 2007-07-02
1992916019 Diane G. Oliver, Md Pathology 1107 Highway 395 S, Department of Pathology, Gardnerville, NV 89410 2007-05-24
1346460656 Ricky Shigeru Miyashiro Physical Therapist 1107 Hwy 395 S, Gardnerville, NV 89410 2007-04-27
1467679217 Stuart Sumner Drange Dentist 1480 Main Street, Hwy 395, Gardnerville, NV 89410 2007-04-20
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215568373 Nitin J. Engineer Md Plastic Surgery Pllc Surgery 2821 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-4429 2020-01-28
1316581663 Lv Robotics Surgery 8954 Spanish Ridge Ave Ste 1, Las Vegas, NV 89148-1353 2019-10-30
1659834075 Crossroads Saint LLC Surgery 1120 Shadow Ln Ste 120, Las Vegas, NV 89102-2342 2019-04-11
1629573555 Talha Adil Rafeeqi Surgery 6655 S Cimarron Rd Ste 100, Las Vegas, NV 89113-2181 2018-03-23
1043719636 Sierra Surgical Oncology Corporation Surgery 75 Pringle Way Ste 906, Reno, NV 89502-8405 2018-02-08
1700258712 David Anthony Diorio Surgery 2221 Barchetta Dr, Las Vegas, NV 89134-6030 2015-10-29
1245602390 Stem Cell Therapy of Las Vegas Surgery 2110 E Flamingo Rd Ste 333, Las Vegas, NV 89119-5190 2015-10-28
1588918205 Joseph Thomas Carroll Surgery 1701 W Charleston Blvd Ste 400, Las Vegas, NV 89102 2012-11-02
1003166877 Hon Kei Poon Md Facs PC Surgery 2008 Colvin Run Dr, Henderson, NV 89052-6987 2012-09-19
1770850943 Allan Macintyre Pllc Surgery 8872 S Eastern Ave, Suite 104, Las Vegas, NV 89123-4900 2011-11-16
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Competitor

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City GARDNERVILLE
Zip Code 89410

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Dataset Information

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.

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