DR. KYONG SU MIN (NPI# 1972737153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972737153 |
| Entity Type | Individual |
| Full Name | DR. KYONG SU MIN |
| Credential | MD |
| Practice Address |
1 Jarrett White Rd Bldg 4f Tripler Army Medical Center HI 96859 |
| Mailing Address |
1 Jarrett White Rd # Wing4f Tripler Army Medical Center HI 96859-5001 |
| Practice Telephone | 8084335986 |
| Mailing Telephone | 8084335986 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2018-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD-19296 | HI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD-60771590 | WA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 266111 | MA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 25831 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Fruit St, Yawkey Center for Outpatient Care, Boston, MA 021142621 | 6177260404 | 6177243846 |
| Street Address |
1 JARRETT WHITE RD BLDG 4F |
| City | TRIPLER ARMY MEDICAL CENTER |
| State | HI |
| Zip Code | 96859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| 1659361459 | Michael V. Arnett | Internal Medicine | Mchk-dm, 1 Jarrett White Rd, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588287643 | Maggie E Scribner | Orthopaedic Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-24 |
| 1629481726 | Robert C Turner | Orthopaedic Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859-5001 | 2014-06-05 |
| 1639581085 | Liang Zhou | Orthopaedic Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859-5001 | 2014-05-20 |
| 1255774188 | Ian Mullikin | Orthopaedic Surgery | 1 Jarrett White Rd, Department of Orthopedics, Tripler Army Medical Center, HI 96859 | 2013-04-10 |
| 1689936775 | Kevin Phillip Krul | Orthopaedic Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859 | 2012-06-13 |
| 1043447949 | Anthony Michael Barcia | Orthopaedic Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859-5001 | 2009-06-17 |
| 1841488012 | Alison R Kinsler | Orthopaedic Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710894 | Paul N Morton LLC | Orthopaedic Surgery | 405 N Kuakini St Ste 904, Honolulu, HI 96817-6302 | 2020-08-13 |
| 1760976013 | Orthopaedic Specialists Hawaii LLC | Orthopaedic Surgery | 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 | 2018-06-20 |
| 1316479199 | Island Orthopaedics, LLC | Orthopaedic Surgery | 91-2139 Fort Weaver Rd Ste 305, Ewa Beach, HI 96706-3610 | 2017-03-30 |
| 1831555655 | Joseph Clifford | Orthopaedic Surgery | 7220 Kahuna Rd, Kapaa, HI 96746-9027 | 2016-01-08 |
| 1336413913 | Morris Mitsunaga, M.d., Inc. | Orthopaedic Surgery | 1380 Lusitana St Ste 905, Honolulu, HI 96813-2448 | 2012-02-29 |
| 1609159763 | Kerry A. Lau | Orthopaedic Surgery | 670 Ponahawai St Ste 214, Hilo, HI 96720-7830 | 2011-09-26 |
| 1477870897 | Andrew Barrister Richardson | Orthopaedic Surgery | 1401 S Beretania St Ste 750, Honolulu, HI 96814-1881 | 2010-04-24 |
| 1093049835 | Lawrence Hyde Gordon | Orthopaedic Surgery | 1901 Judd Hillside Rd, Honolulu, HI 96822-2007 | 2009-09-28 |
| 1184800278 | West Hawaii Orthopedics Inc | Orthopaedic Surgery | 81-958 Halekii St, Suite 5c, Kealakekua, HI 96750-8104 | 2008-01-18 |
| 1346433950 | Stuart Baumgard | Orthopaedic Surgery | 219 Kaula Ili Way, Maunaloa, HI 96770 | 2007-08-27 |
| Find all providers with the same taxonomy | ||||
| City | TRIPLER ARMY MEDICAL CENTER |
| Zip Code | 96859 |
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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.