DR. BRIAN K. KIM (NPI# 1861483166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861483166 |
Entity Type | Individual |
Full Name | DR. BRIAN K. KIM |
Credential | M.D. |
Practice Address |
3840 Broadway Fort Myers FL 33901-8108 |
Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
Practice Telephone | 2392756400 |
Practice Fax Number | 2392750178 |
Mailing Telephone | 2392748200 |
Mailing Fax Number | 2392783350 |
Enumeration Date | 2005-11-04 |
Last Update Date | 2010-06-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME66697 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 375598300 | 05 | |
FL | RR MEDICARE | 830004833 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407487440 | Brian Kim | Student in an Organized Health Care Education/Training Program | 340 E 23rd St Apt 7c, New York, NY 10010-4748 | 2020-01-29 |
1407284714 | Brian Woogi Kim | Physical Therapist | 14153 Robert Paris Ct Ste A, Chantilly, VA 20151-4225 | 2013-10-23 |
1902241573 | Brian A Kim | Anesthesiology | 7115 Greenback Ln Fl 1, Citrus Heights, CA 95621-6133 | 2013-05-08 |
1699022111 | Brian Byoungsoo Kim | Physical Therapist | 1962 Roanoke Ave, Tustin, CA 92780-6635 | 2012-08-15 |
1437448081 | Brian J Kim | Audiologist | 1107 College Ave Ste 2, Quincy, IL 62301-2600 | 2011-04-05 |
1588804611 | Brian T Kim | Dentist | 7501 Hospital Dr Ste 202, Sacramento, CA 95823-5405 | 2009-03-02 |
1598989063 | Brian Kim | Dentist | 25211 Paseo De Alicia Ste 200, Laguna Hills, CA 92653-4614 | 2007-04-13 |
1295868636 | Brian Songsu Kim | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2007-03-14 |
1467521443 | Brian Chong-han Kim | Dentist | 222 N G St, #3, San Bernardino, CA 92410-3217 | 2006-11-06 |
1346299831 | Brian Won-sik Kim | Internal Medicine | 1725 W Harrison St Ste 250, Chicago, IL 60612-3861 | 2006-05-10 |
Street Address |
3840 BROADWAY |
City | FORT MYERS |
State | FL |
Zip Code | 33901-8108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558665109 | Laraine M Mouthaan | Nurse Practitioner | 3840 Broadway, Fort Myers, FL 33901-8108 | 2010-12-22 |
1033383351 | Ryan K Olson | Pathology | 3840 Broadway, Fort Myers, FL 33901-8108 | 2008-04-17 |
1811187909 | Syed Farhan Zafar | Internal Medicine | 3840 Broadway, Florida Cancer Specialists P L, Fort Myers, FL 33901-8108 | 2007-07-26 |
1881770659 | Van G Rana | Internal Medicine | 3840 Broadway, Fort Myers, FL 33901-8108 | 2006-10-27 |
1932217148 | Florida Cancer Specialists P L | Internal Medicine | 3840 Broadway, Fort Myers, FL 33901-8108 | 2006-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
Find all providers in zip 33901 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295094332 | A. Dosoretz, Md Prof. Corp. | Internal Medicine | 2160 Colonial Blvd, Fort Myers, FL 33907-1410 | 2012-05-10 |
1811909070 | Bhanuprasad Koneru | Internal Medicine | 12781 World Plaza Ln, Suite 1, Fort Myers, FL 33907-4078 | 2006-08-13 |
1861454696 | Ananth Krishnan Iyer | Internal Medicine | 4371 Veronica S Shoemaker Blvd, Attn: Credentialing, Fort Myers, FL 33916-2216 | 2006-04-05 |
1265929723 | American Oncology Partners, P.a. | Internal Medicine | 9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL 33905 | 2018-04-19 |
1538575410 | Ocala Oncology Center Pl | Internal Medicine | 8140 College Pkwy, Suite 101, Fort Myers, FL 33919-5188 | 2014-07-11 |
1568717544 | Magali Van Den Bergh | Internal Medicine | 8260 Gladiolus Dr, Fort Myers, FL 33908 | 2012-07-17 |
1265722060 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 8931 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7809 | 2011-04-13 |
1740477595 | Lee Cancer Clinic Pllc | Internal Medicine | 12781 World Plaza Ln, Unit 1, Fort Myers, FL 33907-4078 | 2007-09-26 |
1811187909 | Syed Farhan Zafar | Internal Medicine | 3840 Broadway, Florida Cancer Specialists P L, Fort Myers, FL 33901-8108 | 2007-07-26 |
1972669711 | Florida Cancer Specialists P L | Internal Medicine | 4371 Veronica S Shoemaker Blvd, Fort Myers, FL 33916-2216 | 2006-12-28 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33901 |
Please comment or provide details below to improve the information on DR. BRIAN K. 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.