LYDIA SOO-HYUN KIM (NPI# 1780973396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780973396 |
| Entity Type | Individual |
| Full Name | LYDIA SOO-HYUN KIM |
| Practice Address |
Us Hwy 491 North Shiprock NM 87420 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 5053686001 |
| Practice Fax Number | 5053687011 |
| Mailing Telephone | 5053686001 |
| Mailing Fax Number | 5053687011 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A125333 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192627 | Lydia K Kim | Home Health Aide | 450 Pintail Ct, Suwanee, GA 30024-6072 | 2018-11-02 |
| 1801139068 | Lydia R Kim | Dermatology | 7373 West Ln Ste 355, Stockton, CA 95210-3377 | 2013-04-05 |
| 1043586548 | Lydia Kim | Pediatrics | 200 N Wolfe St Ste 3075, Baltimore, MD 21287 | 2012-03-28 |
| 1407334428 | Lydia Kim | Student in an Organized Health Care Education/Training Program | 101 The City Dr S Bldg 3, Orange, CA 92868-3201 | 2018-08-01 |
| 1558806851 | Lydia Y Kim | Acupuncturist | 8929 S Sepulveda Blvd, Suite 205, Los Angeles, CA 90045-3616 | 2016-12-22 |
| 1952701773 | Lydia Kim | Psychologist | 4650 W Sunset Blvd, Ms #53, Los Angeles, CA 90027-6062 | 2014-08-28 |
| Street Address |
US HWY 491 NORTH |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636191 | Jason Boyd Girouard | Nurse Anesthetist, Certified Registered | Us Hwy 491 North, Shiprock, NM 87420 | 2005-08-10 |
| 1215550843 | Kaitlin A Philipsen | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2020-05-18 |
| 1417517533 | Ethan Fahrney | Occupational Therapist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-20 |
| 1124687884 | Kia Yang | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-06-06 |
| 1700346095 | Laura Bodnar | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-03-22 |
| 1275006116 | Billie Don Evans IIi | Pharmacist | Us Hwy 491 North, Shiprock, NM 87420 | 2019-01-03 |
| 1093287609 | Ivan Teodoro Chia | Registered Nurse | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2018-12-20 |
| 1467944041 | Elysia Ison | Optometrist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-05-31 |
| 1407343809 | Pamela Bryan | Social Worker | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-20 |
| 1164919304 | Jerren Michael Alcalde | Dentist | Us Hwy 491 North, Shiprock, NM 87420 | 2018-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063679652 | Daniel Langsam | Pediatrics | Hwy 491 N, Northern Navajo Medical Center, Shiprock, NM 87420 | 2008-05-21 |
| 1316300981 | Christina Anne Davidson | Pediatrics | Us Hwy 491 North, Shiprock, NM 87420 | 2016-03-31 |
| 1124480942 | Tommie T Begay | Pediatrics | Hwy 491 North, Shiprock, NM 87420 | 2016-03-22 |
| 1144512336 | Neil Gholkar | Pediatrics | Us Hwy 491 North, Shiprock, NM 87420 | 2011-05-06 |
| 1558418046 | Jane Elizabeth Curry | Pediatrics | Northern Navajo Medical Center, Hwy 491, Department of Pediatrics, Shiprock, NM 87420 | 2007-01-05 |
| 1033125877 | Sandra Beirne | Pediatrics | Us Hwy 491 North, Shiprock, NM 87420 | 2006-08-01 |
| 1194700674 | Jeffrey C Powell | Pediatrics | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-07 |
| 1558350397 | Rosemary Anne Johnston | Pediatrics | Us Highway 491 N, Shiprock, NM 87420 | 2005-10-14 |
| 1073501722 | Alan Lyndale Schooley | Pediatrics | Us Hwy 491 North, Shiprock, NM 87420 | 2005-10-07 |
| 1952398331 | Donald Darwood Vasser | Pediatrics | Us Hwy 491 North, Shiprock, NM 87420 | 2005-09-30 |
| Find all providers in SHIPROCK | ||||
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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.