GRACE KIM (NPI# 1750525606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750525606 |
| Entity Type | Individual |
| Full Name | GRACE KIM |
| Credential | M.D. |
| Practice Address |
47 New Scotland Ave Internal Medicine Albany NY 12208-3412 |
| Mailing Address |
4 Sundance Ln Loudonville NY 12211-2065 |
| Practice Telephone | 5182623125 |
| Mailing Telephone | 5627088166 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
265677 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407417611 | Grace Kim | Acupuncturist | 414 N Coast Highway 101, Encinitas, CA 92024-2529 | 2019-06-27 |
| 1417415662 | Grace Kim | Dietitian, Registered | 2120 Evergreen Dr, San Bruno, CA 94066-1828 | 2019-03-06 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1023405305 | Grace Eunheh Kim | Dentist | 7112 Ed Bluestein Blvd Ste 130, Austin, TX 78723-2924 | 2015-04-23 |
| 1679991897 | Grace Kim | Pediatrics | 925 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2014-04-03 |
| 1437572153 | Grace Kim | Occupational Therapist | 1607 W Redondo Beach Blvd, Gardena, CA 90247-3241 | 2014-01-31 |
| 1912335001 | Grace Jiin Kim | Acupuncturist | 61 Campbell Ave, Woodcliff Lake, NJ 07677-8061 | 2013-10-29 |
| 1255766119 | Grace Kim | Registered Nurse | 19416 37th Ave, Flushing, NY 11358-4003 | 2013-09-11 |
| 1366787103 | Grace G Kim | Physical Therapist | 375 Dover Chester Rd, Randolph, NJ 07869-3910 | 2012-12-05 |
| 1255684189 | Grace Donghwa Kim | Acupuncturist | 61 E 75th St Fl 2, New York, NY 10021-2739 | 2012-10-16 |
| Street Address |
47 NEW SCOTLAND AVE INTERNAL MEDICINE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324184 | Terri Antrenase Williams-weekes | Radiology | 47 New Scotland Ave, Radiology Department, Albany, NY 12208-3412 | 2005-05-23 |
| 1912508813 | Luke Manecio | Registered Nurse | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-06 |
| 1891303434 | Hannah Faith Mumford | Nurse Practitioner | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-07-20 |
| 1073131231 | Rafeh Safdar | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Internal Medicine, Albany, NY 12208-3479 | 2020-07-13 |
| 1215553474 | Muhammad Taimoor Iftikhar | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2020-06-23 |
| 1376169672 | Nadia Mackenzie Hill | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-06-23 |
| 1700408838 | Beltina Guce | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-05-12 |
| 1417586041 | Christopher Lu | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2020-04-06 |
| 1821626904 | Anicia Monique Ivey | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Family and Community Medicine, Albany, NY 12208 | 2020-04-01 |
| 1265060677 | Samae S Scott | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1841204435 | Erik Appel Cohen | Internal Medicine | 1365 Washington Avenue Suite 300, The Endocrine Group, Albany, NY 12206 | 2006-07-28 |
| 1609879709 | Mark Lester Fruiterman | Internal Medicine | 1365 Washington Ave, Ste 300, Albany, NY 12206-1098 | 2005-05-23 |
| 1225425259 | Mohsinah Usmani | Internal Medicine | 63 Shaker Rd Ste 201, Albany, NY 12204-1030 | 2015-04-16 |
| 1508280389 | Albany Medical College | Internal Medicine | 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 | 2014-02-13 |
| 1942501663 | Ana Maria Kausel | Internal Medicine | 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 | 2010-11-11 |
| 1538481965 | Susan Sunjung Kim I | Internal Medicine | 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 | 2010-02-26 |
| 1215141056 | Michael Esposito & Richard Ginsburg Ptr | Internal Medicine | 614 Madison Ave, Albany, NY 12208 | 2007-05-10 |
| 1518034750 | Richard Mark Ginsburg | Internal Medicine | 614 Madison Ave, Albany, NY 12208 | 2006-11-30 |
| 1497857007 | Sara Nielsen Clark | Internal Medicine | 47 New Scotland Ave, Albany, NY 12208-3412 | 2006-09-03 |
| 1386689248 | Albany Medical College | Internal Medicine | 47 New Scotland Ave, Mc: 57, Albany, NY 12208-3412 | 2006-06-17 |
| Find all providers in ALBANY | ||||
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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.