SANG HYUB KIM (NPI# 1649766809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649766809 |
| Entity Type | Individual |
| Full Name | SANG HYUB KIM |
| Other Name | DR. SANG HYUB KIM |
| Credential | DPM, MPH |
| Practice Address |
5800 Ridge Ave Philadelphia PA 19128 |
| Mailing Address |
2615 Dekalb Pike Apt 506 East Norriton PA 19401-1831 |
| Practice Telephone | 2154839900 |
| Mailing Telephone | 6464622625 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC006955 | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
SC006955 | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006955 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5800 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959941 | Freda Lozanoff | Emergency Medicine | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2005-08-15 |
| 1841818507 | Margi Gami | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-07-09 |
| 1447885132 | Ayeesha Adolphus | Nurse Practitioner | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-03-03 |
| 1255986055 | Gagandeep Sandhu | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-08-08 |
| 1316509177 | Suraj Hansalia | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-07-02 |
| 1770145856 | Ashmi Shah | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-06-28 |
| 1538636550 | Julie A Laureni | Physician Assistant | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-10-29 |
| 1790276640 | James Robert Brandt | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-05-27 |
| 1194236273 | Brian Jones Jr. | Physician Assistant | 5800 Ridge Ave, Suite 234, Philadelphia, PA 19128 | 2017-10-17 |
| 1780114678 | Lpp of Pennsylvania LLC | Emergency Medicine | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1659834604 | Anthony Errico | Podiatrist | 235 N Broad St Ste 3, Philadelphia, PA 19107-1531 | 2019-04-08 |
| 1508388794 | Farhad Foroudi | Podiatrist | 8835 Germantown Ave Ste 105a, Philadelphia, PA 19118-2718 | 2017-07-10 |
| 1720460884 | Muhaiminu Hossain | Podiatrist | 240 N Broad St, Philadelphia, PA 19102-1121 | 2015-06-25 |
| 1497161293 | Soyun Victoria Park | Podiatrist | 6628 Souder St, Philadelphia, PA 19149-2206 | 2014-07-01 |
| 1679988620 | Brett Thomas Williams | Podiatrist | 1934 Waverly St, C204, Philadelphia, PA 19146-1456 | 2014-06-29 |
| 1588007876 | Complete Foot & Ankle L.L.C. | Podiatrist | 2350 Tremont St, #410, Philadelphia, PA 19115-5030 | 2013-04-17 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1457606865 | David Portonova | Podiatrist | 235 North Broad Street, Philadelphia, PA 19102 | 2012-07-23 |
| 1649568056 | Nekeisha Alexander Abdul-hakim | Podiatrist | 6635 Chew Ave, Philadelphia, PA 19119 | 2011-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
Please comment or provide details below to improve the information on SANG HYUB KIM.
| 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.