DR. DONGSOO KIM (NPI# 1881622504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881622504 |
| Entity Type | Individual |
| Full Name | DR. DONGSOO KIM |
| Credential | M.D. |
| Practice Address |
102 Valentine St Mount Vernon NY 10550-2504 |
| Mailing Address |
16 Arden Dr Hartsdale NY 10530-2936 |
| Practice Telephone | 9146652267 |
| Practice Fax Number | 9146937801 |
| Mailing Telephone | 9146938122 |
| Mailing Fax Number | 9146937801 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
165345 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01709291 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770739005 | Dongsoo Kim | Pediatrics | 3101 Charann Dr, Howell, MI 48843-8612 | 2008-08-18 |
| 1164609863 | Dongsoo Kim | Clinical Neuropsychologist | 163 Engle St Ste 1a, Englewood, NJ 07631-2530 | 2008-01-24 |
| 1821016957 | Dongsoo David Kim | Dentist | 1501 Kings Hwy, Department of Oral Surgery, Shreveport, LA 71103-4228 | 2006-07-17 |
| Street Address |
102 VALENTINE ST |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356371124 | Chi Ho Chang | Specialist | 102 Valentine St, Mount Vernon, NY 10550-2504 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1265650857 | Kirandeep Khangura | Internal Medicine | 4113 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2007-04-22 |
| 1043395841 | Connie L. Davis | Internal Medicine | 208 Hospital Parkway, Mount Vernon, WA 98274 | 2006-10-27 |
| 1295755114 | Cheryl L Emmons | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2006-07-21 |
| 1215311683 | Chandra Kanth Chaturvedula | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2015-07-16 |
| 1174789325 | Kidney & Hypertension Clinic Pllc | Internal Medicine | 1617 E Division St, Mount Vernon, WA 98274-4503 | 2008-08-06 |
| 1871719476 | Cheryl Emmons Mdsc | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2007-04-18 |
| 1821164765 | Muhammad Irfan Qadir M.d. L.L.C. | Internal Medicine | 514 Gramatan Ave, Suite P3, Mount Vernon, NY 10552-3054 | 2006-11-24 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
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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.