MISS JAE HYUN KIM


Address: 1918 Coliseum Blvd, Greensboro, NC 27403-3211
Phone: 3362947923

MISS JAE HYUN KIM (NPI# 1689849176) 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) 1689849176
Entity Type Individual
Full Name MISS JAE HYUN KIM
Practice Address 1918 Coliseum Blvd
Greensboro
NC 27403-3211
Practice Telephone 3362947923
Practice Fax Number 3362943961
Mailing Telephone 3362947923
Mailing Fax Number 3362943961
Enumeration Date 2008-04-25
Last Update Date 2008-04-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JAE KIM

NPI Name Taxonomy Address Enumeration
1558778100 Jae Kim Pharmacist 14474 37th Ave, 1st Floor, Flushing, NY 11354-5934 2014-07-15
1215274865 Jae S. Kim Dentist 1025 N Fillmore St, A, Arlington, VA 22201-6701 2013-01-15
1306112875 Jae Hee Kim Pharmacist 1202 N 10th Pl Apt 1214, Renton, WA 98057-5635 2012-03-28
1548531536 Jae Chil Kim Physical Medicine & Rehabilitation 107 Redcliff Dr, Jefferson Hills, PA 15025-3139 2012-01-23
1407143191 Jae Man Kim Acupuncturist 3409 W Burbank Blvd, Burbank, CA 91505-2233 2011-07-01
1609168327 Jae Y Kim Otolaryngology 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 2011-05-12
1477745388 Jae Woo Kim Dentist 403 N Five Points Rd, West Chester, PA 19380-4632 2007-08-14
1083832273 Jae Gwon Kim Dentist 777 N. Rainbow Blvd., Ste. 395, Las Vegas, NV 89107 2007-04-23
1043359482 Jae Seung Kim Acupuncturist 3400 W Olympic Bl, Ste207, Los Angeles, CA 90019-2122 2007-02-05
1689735953 Jae M Kim Internal Medicine 1433 W Merced Ave., Suite 217, West Covina, CA 91790-5058 2006-12-12

Office Location

Street Address 1918 COLISEUM BLVD
City GREENSBORO
State NC
Zip Code 27403-3211

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518581412 Tina Tate Nurse Practitioner Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 2020-06-05
1609438514 Gail Corneau Psychologist Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 2019-07-01
1528527298 Kendall Austin Macdonald Hearing Instrument Specialist 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 2019-03-13
1093292237 Andrew Robertson Pharmacist 1903 W. Florida St, Greensboro, NC 27403 2018-07-20
1447778071 Bac Developmental Program Inc Day Training, Developmentally Disabled Services 2203 Coliseum Blvd, Greensboro, NC 27403 2017-09-04
1144607128 Waldo's Optical Eyewear Supplier (Equipment, not the service) 2500 Spring Garden St., Suite C, Greensboro, NC 27403 2015-04-29
1851703144 Tedra Slade Social Worker 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 2014-05-21
1336568807 Brian Sninsky Urology Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 2014-04-14
1003237785 Peter Reich Counselor 907 Englewood St, Greensboro, NC 27403 2013-12-23
1508295429 Alexander Wilson Lpc Inc Counselor 3719 West Market Street, Suite B, Greensboro, NC 27403 2013-11-01
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265848899 Leslie Alston Prosthetist 1014 Homeland Ave, Suite 103, Greensboro, NC 27405-7014 2014-07-03
1174812838 Steven Grove Prosthetist 1403 Yanceyville St Ste C, Greensboro, NC 27405-6965 2011-04-04
1629392931 William Paul Morton Prosthetist 2800 Saint Leo St, Greensboro, NC 27405-3382 2010-03-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639782857 Ashley Brooks Prosthetist 2232 Page Rd Ste 104, Durham, NC 27703-7724 2020-08-27
1689282865 Marquetta L Thomas Prosthetist 2203 Southern Ave, Fayetteville, NC 28306-2257 2020-07-14
1053943381 Ashley K Sorrell Prosthetist 24 Wood Lake Dr, Fuquay Varina, NC 27526-4936 2020-02-05
1134764459 Zachary Roggow Prosthetist 3400 Executive Dr Ste 102, Raleigh, NC 27609-7476 2019-11-11
1356990022 Porshai Juanice Jackson Prosthetist 6341 Derryfield Dr, Charlotte, NC 28213-5532 2019-09-05
1164079117 Sherronda Yancey Prosthetist 513 Yadkin St, Henderson, NC 27536-3524 2019-08-23
1962058909 Tishma Mcgarrell Prosthetist 102 N B Street, Bridgeton, NC 28519-2851 2019-08-15
1306400759 Pure Gold Luxz Hair Beauty Luxury Prosthetist 508 Owen Dr, Fayetteville, NC 28304-3417 2019-04-30
1437712601 Anitra Nash Phifer Prosthetist 2483 E Ozark Ave, Gastonia, NC 28054-1421 2019-04-15
1881257046 Sonja Allen Prosthetist 3509 David Cox Rd, Charlotte, NC 28269-2281 2019-04-15
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Competitor

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City GREENSBORO
Zip Code 27403

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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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