SUNNY KIM (NPI# 1902003080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902003080 |
| Entity Type | Individual |
| Full Name | SUNNY KIM |
| Practice Address |
503 Airport Rd Ste 101 Medford OR 97504-4159 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5412002900 |
| Practice Fax Number | 5412002948 |
| Mailing Telephone | 5418588170 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD160582 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396256012 | Sunny U Kim | Nurse Practitioner | 14051 St Francis Blvd Ste 2210, Midlothian, VA 23114-3203 | 2017-10-20 |
| 1508300112 | Sunny Kim | Behavioral Analyst | 1111 1/2 N Milpas St, Santa Barbara, CA 93103-2335 | 2016-12-15 |
| 1154467405 | Sunny Song Mi Kim | Dentist | 13041 Rosecrans Ave # 207, Norwalk, CA 90650-0504 | 2007-01-30 |
| 1114070810 | Sunny E Kim | Dentist | 3650 Wallingford Ave N, Seattle, WA 98103-8242 | 2007-01-18 |
| 1881744316 | Sunny Sung Il Kim | Acupuncturist | 9047 East Florence Ave, #l, Downey, CA 90240 | 2007-01-10 |
| 1114989555 | Sunny S Kim | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2006-04-03 |
| 1639146558 | Sunny R Kim | Physical Medicine & Rehabilitation | 6005 Rockwell Dr Ne Ste B, Cedar Rapids, IA 52402 | 2006-03-01 |
| 1316566672 | Sunny Seonjeong Kim | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2020-04-15 |
| 1346772647 | Sunny Kim | Student in an Organized Health Care Education/Training Program | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2017-03-28 |
| 1972932358 | Sunny Kim | Pharmacist | 2854 N Campbell Ave, Tucson, AZ 85719-2811 | 2013-11-05 |
| Street Address |
503 AIRPORT RD STE 101 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417973 | Leslie Michelle Williams | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-11-05 |
| 1871107573 | Marcy Jo Hansen | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-09-01 |
| 1225651938 | Sadie Teagan Trautwein | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-05-28 |
| 1407477763 | Melinda Michelle Cain | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-04-28 |
| 1629604103 | Angelica Jean Flowers | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2020-03-17 |
| 1639715964 | Jennifer Andrews | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2019-11-21 |
| 1508400318 | Rachel Hill Stewart | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2019-11-05 |
| 1346884350 | Kyndra Marie Connor | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2019-11-01 |
| 1891348025 | Brian M Locke | Counselor | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2019-07-17 |
| 1942769500 | Alexis Lewis | Peer Specialist | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2019-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1215447008 | Jacqueline Amato, Md PC | Psychiatry & Neurology | 841 Alder Creek Dr, Medford, OR 97504-8900 | 2017-10-05 |
| 1982069357 | Ferguson and Pitch Tms Medical Associates Pllc | Psychiatry & Neurology | 1739-a North Ocean Ave, Medford, NY 11763-2683 | 2015-12-29 |
| 1295175347 | Nicole Shirvani | Psychiatry & Neurology | 691 Murphy Rd Ste 218, Medford, OR 97504-4311 | 2013-07-02 |
| 1487908927 | Jeffrey D. Thompson, Md, PC | Psychiatry & Neurology | 18 Myrtle St Ste 102, Medford, OR 97504-7471 | 2012-11-06 |
| 1033404785 | Akshar Health Associates, LLC | Psychiatry & Neurology | 15 Somerton Sq, Medford, NJ 08055-3366 | 2011-06-10 |
| 1073835377 | Center for Senior Wellness, Francis R. Murphy, M.d., LLC | Psychiatry & Neurology | 105 Atsion Rd Unit H, Medford, NJ 08055-1352 | 2010-02-27 |
| 1821257841 | Gail Alexander | Psychiatry & Neurology | 1005 East Main St, Medford, OR 97504 | 2008-06-05 |
| 1881868933 | Margo Christiane Funk | Psychiatry & Neurology | 691 Murphy Rd, Suite 218, Asante Physician Partners, Medford, OR 97504 | 2008-04-19 |
| 1851502512 | Diane Hennacy Powell | Psychiatry & Neurology | 245 Valley View Dr, Medford, OR 97504-6973 | 2007-05-24 |
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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.