PHILIP S KIM (NPI# 1932194701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932194701 |
| Entity Type | Individual |
| Full Name | PHILIP S KIM |
| Credential | MD |
| Practice Address |
4701 Ogletown Stanton Rd Suite 2131 Newark DE 19713-2055 |
| Practice Telephone | 3022667800 |
| Practice Fax Number | 3022667851 |
| Mailing Telephone | 3022667800 |
| Mailing Fax Number | 3022667851 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2011-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD060379L | PA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
C1-0006593 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001613641 | 05 | |
| DE | 1000017122 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356781132 | Philip Kim | Family Medicine | 1729 Termino Ave Ste B, Long Beach, CA 90804-2121 | 2013-06-26 |
| 1376929034 | Philip Kim | Optometrist | 600 N Wolfe Street, Wilmer 233, Baltimore, MD 21287-0005 | 2015-08-05 |
| 1750766002 | Philip Kim | Optometrist | 29138 Gratiot Ave, Roseville, MI 48066-4152 | 2015-07-29 |
| 1679842652 | Philip Kim | Pharmacist | 4920 Se Abshier Blvd, Belleview, FL 34420-3807 | 2011-12-21 |
| 1023269461 | Philip Hyunwoo Kim | Urology | 4405 Vandever Ave, Urologic Surgery, San Diego, CA 92120-3315 | 2008-10-03 |
| 1649447095 | Philip T Kim | Dentist | 9005 Chevrolet Dr, Suite 3, Ellicott City, MD 21042-4009 | 2008-05-14 |
| Street Address |
4701 OGLETOWN STANTON RD SUITE 2131 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265432 | Natalie C Knitowski | Physician Assistant | 4701 Ogletown Stanton Rd, Suite 1500, Newark, DE 19718-2200 | 2005-06-16 |
| 1912449554 | Tiffany D Whary | Dietitian, Registered | 4701 Ogletown Stanton Rd, Helen F. Graham Cancer Center, Suite 2200, Newark, DE 19713-2055 | 2016-11-14 |
| 1194172445 | Simply You, Inc. | Durable Medical Equipment & Medical Supplies | 4701 Ogletown Stanton Rd, Room 1203, Newark, DE 19713-2055 | 2016-05-17 |
| 1689038580 | Janet Teixeira | Social Worker | 4701 Ogletown Stanton Rd, Helen F Graham Cancer Center, Suite 2200, Newark, DE 19713-2055 | 2016-04-07 |
| 1205201530 | Jennifer Campoli | Registered Nurse | 4701 Ogletown Stanton Rd, Suite 3400, Newark, DE 19713-2055 | 2015-12-11 |
| 1548632110 | Jessica Joel Smallwood | Clinical Nurse Specialist | 4701 Ogletown Stanton Rd, Suite 2400, Newark, DE 19713-2055 | 2015-10-22 |
| 1801263330 | Audrey Elizabeth Squire | Genetic Counselor, MS | 4701 Ogletown Stanton Rd, Suite 2200, Newark, DE 19713-2055 | 2015-09-01 |
| 1306225560 | Viriginia L Vining | Dietitian, Registered | 4701 Ogletown Stanton Rd, Suite 2200, Newark, DE 19713-2055 | 2015-05-21 |
| 1780079939 | Nicholas Colin Petersen | Student in an Organized Health Care Education/Training Program | 4701 Ogletown Stanton Rd, Newark, DE 19713-2055 | 2015-04-04 |
| 1366851206 | Danielle B Mckenna | Genetic Counselor, MS | 4701 Ogletown Stanton Rd, Suite 2200, Newark, DE 19713-2055 | 2014-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477978294 | Carolyn Kloepping | Anesthesiology | 185 S Orange Ave Dept Of, Newark, NJ 07103-2757 | 2014-03-03 |
| 1841394202 | Steven Marc Shulman | Anesthesiology | 185 South Orange Avenue, Msb Room E 538-b, Newark, NJ 07103 | 2006-09-07 |
| 1477579498 | James English Downing | Anesthesiology | 774 Christiana Rd Ste 111, Newark, DE 19713-4248 | 2006-07-14 |
| 1821036435 | Sachida Nand Manocha | Anesthesiology | 78 Messimer Dr, Newark, OH 43055-3627 | 2006-06-04 |
| 1851658397 | Ferdinand Iannaccone | Anesthesiology | 90 Bergen St Ste 3400, Newark, NJ 07103-2425 | 2012-04-23 |
| 1598906984 | Anthony N. Sifonios | Anesthesiology | 185 S Orange Ave, Newark, NJ 07103-2757 | 2009-03-13 |
| 1487890901 | M Sahota Md PC | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2009-01-06 |
| 1760683213 | Upa Np LLC | Anesthesiology | 30 Bergen Street, Admc 121205, Newark, NJ 07107-3000 | 2007-05-31 |
| 1104970920 | Owen R. Rahman | Anesthesiology | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2007-01-22 |
| 1831109420 | University Physician Associates of New Jersey Inc | Anesthesiology | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| Find all providers in NEWARK | ||||
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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.