DR. WUN JUNG KIM (NPI# 1982690525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982690525 |
| Entity Type | Individual |
| Full Name | DR. WUN JUNG KIM |
| Credential | M.D. |
| Practice Address |
3130 Glendale Ave Kobacker Center Toledo OH 43614-5811 |
| Mailing Address |
3355 Glendale Ave 3rd Floor Toledo OH 43614-2426 |
| Practice Telephone | 4193833815 |
| Practice Fax Number | 4193833098 |
| Mailing Telephone | 4193837146 |
| Mailing Fax Number | 4193832050 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2008-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35048297 | OH | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35048297 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0501595 | 05 |
| Street Address |
3130 GLENDALE AVE KOBACKER CENTER |
| City | TOLEDO |
| State | OH |
| Zip Code | 43614-5811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496604 | Tabinda Q Rehman | Psychiatry & Neurology | 3130 Glendale Ave, Toledo, OH 43614-5811 | 2005-09-08 |
| 1437430774 | Kimberly Burkhart | Psychologist | 3130 Glendale Ave, Toledo, OH 43614 | 2011-08-31 |
| 1306139076 | Laura Marie Limpert | Social Worker | 3130 Glendale Ave, Toledo, OH 43614-5811 | 2011-05-27 |
| 1396038329 | Tausha Sharples | Counselor | 3130 Glendale Ave, Toledo, OH 43614-5801 | 2011-05-24 |
| 1992935928 | Suzanna E Hall | Counselor | 3130 Glendale Ave, Toledo, OH 43614-5811 | 2009-07-24 |
| 1982653689 | Lisa M Sancrant | Counselor | 3130 Glendale Ave, Kobacker Center, Toledo, OH 43614-5811 | 2006-05-09 |
| 1831184720 | Theodor B Rais | Psychiatry & Neurology | 3130 Glendale Ave, Kobacker Center, Toledo, OH 43614-5811 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1750910188 | Joseph Nabil Said Kamel | Student in an Organized Health Care Education/Training Program | 3120 Glendale Ave Ste L, Toledo, OH 43614 | 2020-04-07 |
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1154983120 | Yong Woo Jeon | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614 | 2019-06-30 |
| 1093372096 | Anwer Aldhaheri | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1095, Dowling Hall, Room 2153a, Toledo, OH 43614 | 2019-05-24 |
| 1073090205 | Syed Fahmeed Imam | Student in an Organized Health Care Education/Training Program | Ruppert Health Center, 3125 Transvers Dr, Toledo, OH 43614 | 2018-07-20 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| Find all providers in zip 43614 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496604 | Tabinda Q Rehman | Psychiatry & Neurology | 3130 Glendale Ave, Toledo, OH 43614-5811 | 2005-09-08 |
| 1902259716 | Navneet Kaur Patti | Psychiatry & Neurology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2016-07-16 |
| 1457667404 | Rakesh Goyal | Psychiatry & Neurology | 1400 E Medical Loop, Toledo, OH 43614-8004 | 2010-08-27 |
| 1265673990 | Wissam K Hoteit | Psychiatry & Neurology | 6605 W Central Ave, Toledo, OH 43617-1000 | 2009-03-09 |
| 1821266438 | Comprehensive Behavioral Health Services LLC | Psychiatry & Neurology | 2770 Centennial Rd, Toledo, OH 43617-1829 | 2008-02-16 |
| 1477737187 | Sufian Agwani | Psychiatry & Neurology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2007-12-18 |
| 1396969416 | Bushra Haneef Qureishi | Psychiatry & Neurology | 2109 Hughes Dr, Jobst Tower #640, Toledo, OH 43606-3856 | 2007-04-12 |
| 1609900059 | Deepa Khushlani | Psychiatry & Neurology | 2109 Hughes Dr, Jobst Tower #640, Toledo, OH 43606-3856 | 2007-03-16 |
| 1376639757 | David Bellian | Psychiatry & Neurology | 930 S Detroit Ave, Toledo, OH 43614-2701 | 2006-10-05 |
| 1851322168 | Tanvir Singh | Psychiatry & Neurology | 3125 Transverse Dr, Toledo, OH 43614 | 2006-07-05 |
| Find all providers in TOLEDO | ||||
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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.