WOON-OK KIM (NPI# 1932257086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932257086 |
| Entity Type | Individual |
| Full Name | WOON-OK KIM |
| Credential | NP |
| Practice Address |
5457 Wayne Ave New Courtland Life and Adult Day Program Philadelphia PA 19144-3433 |
| Practice Telephone | 2633351500 |
| Practice Fax Number | 2672868250 |
| Mailing Telephone | 2673351500 |
| Mailing Fax Number | 2672868250 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00164900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP008773 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5457 WAYNE AVE NEW COURTLAND LIFE AND ADULT DAY PROGRAM |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265789374 | Anne Louise Petherbridge | Physical Therapist | 5457 Wayne Ave, Philadelphia, PA 19144-3433 | 2012-08-08 |
| 1356698468 | Mary Elizabeth Jones | Physical Therapist | 5457 Wayne Ave, Philadelphia, PA 19144-3433 | 2012-08-08 |
| 1730435165 | Cynthia Marie Gray | Specialist | 5457 Wayne Ave, Philadelphia, PA 19144-3433 | 2012-08-03 |
| 1194071332 | Venus J Connors | Registered Nurse | 5457 Wayne Ave, Philadelphia, PA 19144-3433 | 2012-07-25 |
| 1659658532 | Caitlin Hildebrand | Nurse Practitioner | 5457 Wayne Ave, Philadelphia, PA 19144-3433 | 2011-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1235696741 | Divya Rebecca Roberts | Nurse Practitioner | 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 | 2019-02-21 |
| 1770073090 | Eboni Simmons | Nurse Practitioner | 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 | 2018-05-11 |
| 1780180620 | Natalie Clarke | Nurse Practitioner | 7727 Overbrook Ave, Philadelphia, PA 19151-2016 | 2018-03-31 |
| 1396240792 | Barbara Ann Young | Nurse Practitioner | 15054 Carter Rd, Philadelphia, PA 19116-1503 | 2018-03-27 |
| 1780182451 | Kelly Ann Joyce | Nurse Practitioner | 5225 Arendell Ave, Philadelphia, PA 19114-4229 | 2018-01-29 |
| 1699273615 | Dana Patricia Ridley | Nurse Practitioner | 2024 Emily St, Philadelphia, PA 19145-2823 | 2018-01-24 |
| 1497205157 | Sinu Satheeshbabu Nair | Nurse Practitioner | 9285 Darlington Rd, Philadelphia, PA 19115-2734 | 2016-10-06 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
Please comment or provide details below to improve the information on WOON-OK 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.