JUNGNAM E KIM (NPI# 1942219969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942219969 |
| Entity Type | Individual |
| Full Name | JUNGNAM E KIM |
| Credential | DMD |
| Practice Address |
6835 Broadway Ave Metrohealth Broadway Health Center Cleveland OH 44105-1313 |
| Practice Telephone | 2169571500 |
| Mailing Telephone | 2169571500 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30016344 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0489163 | 05 |
| Street Address |
6835 BROADWAY AVE METROHEALTH BROADWAY HEALTH CENTER |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44105-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356317168 | Rebecca Lynn Schroeder | Family Medicine | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2006-02-23 |
| 1598309304 | Edwin Ng | Pharmacist | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2019-11-05 |
| 1497218515 | Jaime A Garay | Counselor | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2019-04-08 |
| 1245770312 | Douglas Fike | Pharmacist | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2017-03-08 |
| 1437506425 | Kelly Marie Makino | Family Medicine | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2016-05-19 |
| 1861879900 | Xiaojing Shi | Psychiatry & Neurology | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2015-04-27 |
| 1427478858 | Metrohealth System | Pharmacy | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2014-04-24 |
| 1295175370 | Lydia U. Lee | Family Medicine | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2013-07-03 |
| 1649420944 | Jyoti Aneja | Psychiatry & Neurology | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2008-09-23 |
| 1235317124 | Felicia Collins Hameed | Social Worker | 6835 Broadway Ave, Cleveland, OH 44105-1313 | 2008-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525340 | Horitta R Yelder | Nurse's Aide | 11305 Olney Ct., Cleveland, OH 44105 | 2019-12-13 |
| 1063982643 | Jasmine Harris | Case Manager/Care Coordinator | 6410 S Broadway, Lorain, OH 44105 | 2018-11-27 |
| 1629596556 | Amber M Stinnett | Licensed Practical Nurse | 11322 Matilda Ave., Cleveland, OH 44105 | 2017-08-30 |
| 1154848752 | Latisha A Coleman | Homemaker | 4151 East 106st, Cleveland, OH 44105 | 2017-08-24 |
| 1235651605 | Christina Roberson | Nurse's Aide | 3525 E.106 St, Cleveland, OH 44105 | 2017-07-07 |
| 1982139457 | Robert Lucas | Homemaker | 9122 Miles, Cleveland, OH 44105 | 2017-04-21 |
| 1154719243 | Sabrina L Kirksey | Driver | 7414 Park Avenue, Cleveland, OH 44105 | 2014-12-26 |
| 1518379643 | Hope Academy Northcoast Campus | Local Education Agency (LEA) | 4310 E. 71st Street, Cleveland, OH 44105 | 2014-05-23 |
| 1366853301 | Gabrielle Baker | Contractor | 4071 E. 59th St., Cleveland, OH 44105 | 2014-05-13 |
| 1407266174 | Hermine Christine Terry | Nurse's Aide | 4096 E. 81 Street, Cleveland, OH 44105 | 2014-05-05 |
| Find all providers in zip 44105 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119539 | Cleveland Sleep Treatment LLC | Dentist | 3736 Rocky River Dr, Cleveland, OH 44111-4050 | 2020-03-12 |
| 1982255345 | Rest Assured LLC | Dentist | 4245 N Ocoee St Suite 4, Cleveland, TN 37312-4999 | 2019-09-26 |
| 1215422001 | Julia Shneyderman | Dentist | 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 | 2018-06-25 |
| 1386164655 | Elisabeth Anna Banasik | Dentist | Case Western Reserve School of Dental Medicine, 2124 Cornell Road, Cleveland, OH 44106 | 2017-06-27 |
| 1467999102 | William Smith | Dentist | 9601 Chester Ave # 239j, Cleveland, OH 44106 | 2017-01-19 |
| 1407235872 | Dr. Yazan Haddadeen & Partners LLC | Dentist | 2906 Euclid Ave, Cleveland, OH 44115-2416 | 2015-05-19 |
| 1629489208 | Lutfi Nassar | Dentist | 5716 Broadway Ave., Cleveland, OH 44127 | 2014-05-16 |
| 1457799256 | Anne M. Clemons | Dentist | 9500 Euclid Ave # A-71, Cleveland, OH 44195-0001 | 2013-06-13 |
| 1285071829 | N. Stephen Wilson, D.d.s. | Dentist | 4635 Richmond Rd Ste 100, Cleveland, OH 44128-5938 | 2013-05-22 |
| 1194086645 | Zamira Jani | Dentist | 3084 W 25th St, Cleveland, OH 44113-5306 | 2012-05-31 |
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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.