DR. PETER S. KIM (NPI# 1942250030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942250030 |
| Entity Type | Individual |
| Full Name | DR. PETER S. KIM |
| Credential | M.D. |
| Practice Address |
821 Poplar St Highland IL 62249-1658 |
| Mailing Address |
P.o. Box 9 Highland IL 62249 |
| Practice Telephone | 6186541281 |
| Practice Fax Number | 6186541452 |
| Mailing Telephone | 6186541281 |
| Mailing Fax Number | 6186541452 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036090402 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PTAN | 213743 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295298891 | Peter Y Kim | Specialist | 1380 Howard St # 201c, San Francisco, CA 94103-2638 | 2019-04-10 |
| 1922518208 | Peter Kim | Dentist | 15737 E Prentice Dr, Centennial, CO 80015-4264 | 2017-10-02 |
| 1336593391 | Peter Eugene Kim | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Radiology, Albany, NY 12208 | 2016-04-15 |
| 1821475369 | Peter Eusuk Kim | Dentist | 4649 Loma Del Sur Dr, Apt 3307, El Paso, TX 79934-3350 | 2015-05-05 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1184915761 | Peter Hwa Kim | Acupuncturist | 801 N Tustin Ave Ste 501, Santa Ana, CA 92705-3609 | 2011-04-29 |
| 1821257528 | Peter Simon Kim | Podiatrist | 5220 Pacific Concourse Dr, Ste 120, Los Angeles, CA 90045-6244 | 2008-06-06 |
| 1164603965 | Peter Yeon-seong Kim | Internal Medicine | 1400 Pressler, Suite Fct 11.5012, Md Anderson Cancer - Pickens Academic Tower, Houston, TX 77030 | 2007-11-20 |
| 1972725844 | Peter M Kim | Dentist | 2415 G St, Bakersfield, CA 93301-2809 | 2007-05-02 |
| 1053454983 | Peter Sang Kim | Acupuncturist | 929 N Western Ave, Los Angeles, CA 90029-3215 | 2007-02-14 |
| Street Address |
821 POPLAR ST |
| City | HIGHLAND |
| State | IL |
| Zip Code | 62249-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407838444 | Scott A Halvorson | Internal Medicine | 821 Poplar St, Highland, IL 62249-1658 | 2005-11-16 |
| 1487199311 | Brittany Moist | Nurse Practitioner | 821 Poplar St, Highland, IL 62249-1658 | 2017-01-02 |
| 1457384216 | Adult Medicine of Highland, Ltd | Internal Medicine | 821 Poplar St, Highland, IL 62249-1658 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981601 | Michelle Denise Schiefer | Pharmacist | 12495 Il Hwy 143, Highland, IL 62249 | 2020-10-29 |
| 1184235335 | Stephanie Ann Pfeffer | Speech-Language Pathologist | 2813 Il-160, Highland, IL 62249 | 2020-08-12 |
| 1205317898 | Nahant Dialysis LLC | Clinic/Center | 2491 Industrial Dr Ste 200, Highland, IL 62249 | 2018-08-22 |
| 1811432180 | Apollo Medical Holdings | Home Health | 188 Woodcrest Dr, Highland, IL 62249 | 2016-12-22 |
| 1881935781 | Donald Lloyd Chaney | Family Medicine | 3833 Meadow Lane, Highland, IL 62249 | 2013-03-04 |
| 1871842112 | Dental Professionals of Illinois, P.C. | Dentist | 12605 Troxler Ave, Highland, IL 62249 | 2012-08-31 |
| 1770866428 | 3f Vision LLC | Optometrist | Unit # 1 12603 Il Highway 143, Highland, IL 62249 | 2011-09-20 |
| 1396075305 | Theresa E Howard | Counselor | 3636 Villa Park Drive, Highland, IL 62249 | 2010-01-14 |
| 1710127295 | Eric Bernard Kosel | Dentist | 380 Suppiger Way #3, Highland, IL 62249 | 2009-02-24 |
| 1528206745 | Holley Anne Friesz Heidel | Speech-Language Pathologist | 13 Triland Court, Highland, IL 62249 | 2009-01-26 |
| Find all providers in zip 62249 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1902467798 | Southern Illinois Gastroenterology LLC | Internal Medicine | 1212 Broadway, Highland, IL 62249-1960 | 2019-06-24 |
| 1316203367 | Mohsen R Khan | Internal Medicine | 9731 Prairie Ave, Highland, IN 46322-3616 | 2012-04-04 |
| 1538396411 | Christopher Michael Flannery | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2009-06-17 |
| 1659470110 | John L Kniaz | Internal Medicine | 9731 Prairie Ave, Highland, IN 46322-3616 | 2006-09-21 |
| 1295774966 | Richard M. Strong | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-06 |
| 1982642724 | Mark Gabriel | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-03 |
| 1942256581 | Lida Zhen | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
| Find all providers with the same taxonomy | ||||
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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.