DR. JIYOON KIM (NPI# 1851612170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851612170 |
| Entity Type | Individual |
| Full Name | DR. JIYOON KIM |
| Credential | D.O. |
| Practice Address |
Meddac-k 121 Csh Unit 15244 Apo AP 96205 |
| Mailing Address |
Wramc Bldg 2 Rm 2g01 6900 Georgia Ave, Nw Washington DC 20307-0001 |
| Practice Telephone | 1012601959 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS019354 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Wramc Bldg 2 Department of Radiology, 6900 Georgia Ave, Nw, Washington, DC 203070001 | 2159179596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054084 | Jiyoon Kim | Student in an Organized Health Care Education/Training Program | 4408 Adeline St, Emeryville, CA 94608-3312 | 2020-05-14 |
| 1912046665 | Jiyoon Kim | Physician Assistant | 425 E 61st St Fl 10, Weill Cornell Breast Center, New York, NY 10065-8722 | 2007-02-06 |
| 1619463155 | Jiyoon Kim | Acupuncturist | 315 Walt Whitman Rd Ste 311, Huntington Station, NY 11746-4112 | 2018-07-09 |
| Street Address |
MEDDAC-K 121 CSH UNIT 15244 |
| City | APO |
| State | AP |
| Zip Code | 96205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
| 1952815235 | Robert Martinusek | Physical Therapist | Brian Allgood Army Community Hospital Unit 15543, Bldg 7005, Apo, AP 96205 | 2017-11-26 |
| 1659897056 | Laura Tsu | Dentist | 618 Mc Co Dental Com Wbpdaa, Yong San, AP 96205 | 2017-08-17 |
| 1962959502 | Amy Lee Wooten | Nurse Anesthetist, Certified Registered | Brian Allgood Army Hospital, Unit 15244, Camp Humphreys, KOREA 96205 | 2016-09-01 |
| 1912451105 | Laurel Alison Kessler | Dentist | 618 Md Co Dental Company, Apo, AP 96205 | 2016-08-05 |
| 1396116059 | Stephanie Louise Wheeler | Counselor | Hq, Usameddac-korea, Unit 15281, Apo, AP 96205 | 2015-10-07 |
| 1720454994 | Jared Colin Stewart | Dentist | 618th Dental Company, Usa Dentac Korea, Unit 15652, Apo, AP 96205 | 2015-08-11 |
| 1356717524 | John Carmen Warren | Dentist | 618th Dental Company, Usa Dentac - Korea, Unit # 15652, Apo, AP 96205 | 2015-08-11 |
| 1912381823 | Chanise Garvin-dumay | Registered Nurse | 121 Csh/baach. Pad, Yongsan, Apo, AP 96205 | 2015-07-10 |
| 1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
| Find all providers in zip 96205 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
| 1568857985 | Adam Luis Delgado | Radiology | 549 Hc Baach, Unit 15245, Apo, AP 96271 | 2015-04-02 |
| 1720235971 | Neel Kumarpal Vaidya | Radiology | Cmr 402 Box 1234, Landstuhl Regional Medical Center, Apo, AE 09180 | 2008-08-19 |
| 1972546240 | Johan K. Ahn | Radiology | 31 Amds, Unit 6180, Apo, AE 09604-6180 | 2006-06-14 |
| 1922088392 | Darryl David Stinson | Radiology | 3009 Nw Wilson St, Apo, AA 73503-9042 | 2006-01-20 |
| 1164715587 | Justin Lamb | Radiology | 301 Fisher St, Keesler Afb, Apo, AA 39534-2582 | 2011-05-18 |
| 1033347133 | Tyler William Rust | Radiology | 51 Mdg, Unit 2060, Apo, AP 96278-2060 | 2009-06-26 |
| 1346428513 | Marc Tubay | Radiology | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2008-02-09 |
| 1316967078 | Lee Michele Kuxhaus | Radiology | Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180 | 2006-07-19 |
| 1568433738 | Richard Hung Nguyen | Radiology | Landstuhl Regional Medical Center, Department of Radiology, Cmr 402, Apo, AE 09180 | 2006-01-27 |
| Find all providers in APO | ||||
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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.