DR. JAEKEUN KIM


Address: 41 Mall Rd, Burlington, MA 01805-0001
Phone: 6179353261

DR. JAEKEUN KIM (NPI# 1942715180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942715180
Entity Type Individual
Full Name DR. JAEKEUN KIM
Other Name DR. JAE KEUN KIM
Credential MD, PHD, FACS
Practice Address 41 Mall Rd
Burlington
MA 01805-0001
Mailing Address 101 Monmouth St Apt 414
Brookline
MA 02446-5612
Practice Telephone 6179353261
Mailing Telephone 6179353261
Enumeration Date 2017-12-11
Last Update Date 2020-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204F00000X Transplant Surgery 283842 MA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 273758 MA Student, Health Care

Office Location

Street Address 41 MALL RD
City BURLINGTON
State MA
Zip Code 01805-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770588923 Gene Wong Radiology 41 Mall Rd, Burlington, MA 01805 2005-06-15
1689289977 Justin Li Student in an Organized Health Care Education/Training Program 41 Mall Rd, Burlington, MA 01805-0001 2020-09-13
1235743741 Rebecca C Mccarthy Registered Nurse 41 Mall Rd, Burlington, MA 01805-0001 2020-09-02
1730791419 Jason Lefkowitz Student in an Organized Health Care Education/Training Program 41 Mall Rd, Burlington, MA 01805-0001 2020-08-23
1235749185 Jing Lun James Xu Student in an Organized Health Care Education/Training Program 41 Mall Rd, Burlington, MA 01805-0001 2020-08-05
1841808482 Evgeny Romanov Student in an Organized Health Care Education/Training Program 41 Mall Rd, Burlington, MA 01805-0001 2020-07-20
1780201319 Nicole Emily Arsenault Nurse Practitioner 41 Mall Rd, Burlington, MA 01805-0001 2020-06-30
1841817590 Joseph Clinton Mccabe Student in an Organized Health Care Education/Training Program 41 Mall Rd, Burlington, MA 01805-0001 2020-06-29
1730706508 Hina Bhat Student in an Organized Health Care Education/Training Program 41 Mall Rd, Burlington, MA 01805-0001 2020-06-28
1902423734 Jonathan Tong Xu Student in an Organized Health Care Education/Training Program 41 Mall Rd, Burlington, MA 01805-0001 2020-06-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750867909 Natalie Teresa Dal'bo Student in an Organized Health Care Education/Training Program 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 2018-07-11
1043710791 Beth Israel Lahey Health Primary Care, Inc. Urology Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 2018-02-20
1902240872 Lloyd Jones Jr. Student in an Organized Health Care Education/Training Program 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 2013-04-23
1508020470 Russell Andrew Baur Internal Medicine Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 2008-07-10
1356491237 Jacob Magee Sands Internal Medicine 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 2007-01-11
1588757108 Richard Alan Wold Nurse Anesthetist, Certified Registered Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 2006-10-02
1841302387 David M. Venesy Internal Medicine Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 2006-08-31
1790750354 Cara J. Foss Nurse Practitioner Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 2006-02-17
1750376380 Darryl D Esakof Internal Medicine 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 2005-09-20
1225022155 Laura Saluja Internal Medicine Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 2005-09-07
Find all providers in zip 01805

Taxonomy Information

Taxonomy Code 204F00000X
Grouping Allopathic & Osteopathic Physicians
Classification Transplant Surgery

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831139906 James Scarboro Bowman IIi Transplant Surgery 2425 Lacy St, Burlington, NC 27215 2006-06-07
1386887818 Jaime Pineda Transplant Surgery 111 Colchester Ave., Uvm Medical Center - Surgery/transplant, Burlington, VT 05401 2009-04-14
1790903524 Caroline Simon Transplant Surgery 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 2007-04-24
1942428784 Yee Cheah Transplant Surgery 41 Mall Rd, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 2007-04-24
1093839789 Bartholomew John Kane IIi Transplant Surgery Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 2007-03-19
1679581300 Peter Panagiotis Metrakos Transplant Surgery 1 S Prospect St, Uhc Campus, Renal/transplant - 4th Fl, Burlington, VT 05401-3456 2006-08-05
1659309615 University of Vermont Medical Center Inc Transplant Surgery 111 Colchester Ave, Burlington, VT 05401-1473 2006-06-29
1497793277 Khalid Khwaja Transplant Surgery Lahey Clinic 41 Mall Rd, 4 West, Burlington, MA 01805-0001 2006-06-03
1518947860 Roger Jenkins Transplant Surgery 41 Mall Rd, Lahey Clinic, Inc., Burlington, MA 01805-0001 2006-01-20
1245210517 William Lewis Transplant Surgery 41 Mall Rd, Burlington, MA 01805-0001 2006-01-20
Find all providers in BURLINGTON

Competitor

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City BURLINGTON
Zip Code 01805

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Dataset Information

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.

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