KALLE KANG (NPI# 1780626630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780626630 |
| Entity Type | Individual |
| Full Name | KALLE KANG |
| Credential | M.D. |
| Practice Address |
1135 116th Ave Ne Suite 560 Bellevue WA 98004-4623 |
| Mailing Address |
1135 116th Ave Ne Ste 560 Bellevue WA 98004-4631 |
| Practice Telephone | 4254544768 |
| Practice Fax Number | 4254628021 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD00024250 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1135 116TH AVE NE SUITE 560 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702443 | The Eastside Endoscopy Center LLC | Clinic/Center | 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 | 2005-06-30 |
| 1366092728 | Sharpevision Pllc | Optometrist | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2019-09-18 |
| 1447775960 | Ngan Kim Hoang | Pharmacist | 1135 116th Ave Ne, #105, Bellevue, WA 98004 | 2017-08-04 |
| 1871831420 | Jacqueline Suzanne Berkeihiser | Counselor | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2013-01-16 |
| 1306193255 | Raisa R Volodarsky | Pharmacist | 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 | 2012-08-09 |
| 1952673238 | Northwest Center for Urology | Urology | 1135 116th Ave Ne, Ll160, Bellevue, WA 98004-4629 | 2012-02-02 |
| 1548545973 | Daniel Hee-chul Hahm | Pharmacist | 1135 116th Ave Ne, Suite#105, Bellevue, WA 98004-4623 | 2011-10-17 |
| 1811272792 | Kendra Lian Marks | Audiologist | 1135 116th Ave Ne, Suite 500, Bellevue, WA 98004-4623 | 2011-10-11 |
| 1134439540 | Aeisha Bhatti Adnan | Physician Assistant | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-10-19 |
| 1730496092 | Washington Urology Associates, Pllc | Clinic/Center | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1093722787 | John L Meisel | Internal Medicine | 13717 Ne 48 Place, Bellevue, WA 98005 | 2006-08-02 |
| 1891824777 | Edwin J Lai | Internal Medicine | 1135 116th Ave Ne, Suite 560, Bellevue, WA 98004-4623 | 2007-03-05 |
| 1639254279 | Eric W Yap | Internal Medicine | 1135 116th Ave Ne, Suite 560, Bellevue, WA 98004-4623 | 2006-10-25 |
| 1225070170 | Sang U Kim | Internal Medicine | 1135 116th Ave Ne, Suite 560, Bellevue, WA 98004-4623 | 2006-06-12 |
| 1972540227 | Georgia M Rees-lui | Internal Medicine | 1135 116th Ave Ne, Suite 560, Bellevue, WA 98004-4623 | 2006-06-02 |
| 1285695221 | Raj Chandru Butani | Internal Medicine | 1135 116th Ave Ne, Suite 560, Bellevue, WA 98004 | 2006-03-29 |
| 1104891910 | George R Winters IIi | Internal Medicine | 1135 116th Ave Ne, Suite 140, Bellevue, WA 98004-4623 | 2006-02-23 |
| 1265412019 | Robert A Wohlman | Internal Medicine | 1135 116th Ave Ne, Suite 560, Bellevue, WA 98004-4623 | 2006-01-18 |
| 1811976533 | Robert M Gannan | Internal Medicine | 1135 116th Ave Ne, 560, Bellevue, WA 98004-4623 | 2006-01-11 |
| 1194704106 | Venkatachala Mohan | Internal Medicine | 1135 116th Ave Ne, #560, Bellevue, WA 98004 | 2006-01-10 |
| Find all providers in BELLEVUE | ||||
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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.