MR. HEESUNG SEAN KIM (NPI# 1720214919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720214919 |
| Entity Type | Individual |
| Full Name | MR. HEESUNG SEAN KIM |
| Credential | PA-C |
| Practice Address |
106 Pine Bluff Rd Ste 11 Salisbury MD 21801-7161 |
| Practice Telephone | 4107420770 |
| Practice Fax Number | 4107422589 |
| Mailing Telephone | 4107420770 |
| Mailing Fax Number | 4107422589 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0003939 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295214567 | Heesung Steve Kim | Dentist | Yongsan Dental Clinic #2, Yongsan South Post Bldg 5107, Apo, AP 00000 | 2018-08-08 |
| Street Address |
106 PINE BLUFF RD STE 11 |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-7161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724475 | Sophia Kathryn Dimeler | Nurse Practitioner | 106 Pine Bluff Rd Ste 11, Salisbury, MD 21801-7161 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1225583693 | Benjamin Gogg | Physician Assistant | 3103 Grandeur Dr, Salisbury, NC 28146-1618 | 2016-08-16 |
| 1114381449 | Courtney Mishler | Physician Assistant | 1821 Sweetbay Dr # 1, Salisbury, MD 21804-1664 | 2016-04-13 |
| 1275791147 | Vincent Walter Lewis | Physician Assistant | 1324 Belmont Ave Ste 103, Salisbury, MD 21804-4543 | 2008-05-28 |
| 1295365377 | Kaitlyn Marie Shelton | Physician Assistant | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-01-17 |
| 1346727351 | Kathryn M Melore | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5422 | 2018-07-23 |
| 1639619224 | Lewis Primary Care, P.a. | Physician Assistant | 1324 Belmont Ave, Unit 103, Salisbury, MD 21804-4584 | 2017-03-01 |
| 1245778182 | Nicole Graham | Physician Assistant | 1401 W Innes St, Salisbury, NC 28144-2574 | 2017-02-10 |
| 1508223108 | Lawrence Tawiah | Physician Assistant | 951 Mount Hermon Rd, Salisbury, MD 21804-5159 | 2016-01-27 |
| 1427420884 | Brian Austin Delgreco | Physician Assistant | 100 E Carroll St, Salisbury, MD 21801-5493 | 2015-10-26 |
| Find all providers in SALISBURY | ||||
Please comment or provide details below to improve the information on MR. HEESUNG SEAN 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.