THEODORE TAE-HUN KIM (NPI# 1982694618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982694618 |
| Entity Type | Individual |
| Full Name | THEODORE TAE-HUN KIM |
| Other Name | TAE HUN KIM |
| Credential | M.D. |
| Practice Address |
4229 Lafayette Center Dr Unit 1760 Chantilly VA 20151-1267 |
| Mailing Address |
Po Box 2106 Skyland NC 28776-2106 |
| Practice Telephone | 7033785155 |
| Practice Fax Number | 7033785166 |
| Mailing Telephone | 8285752644 |
| Mailing Fax Number | 8283502174 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2015-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 0101239690 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 293910 | 01 |
| VA | AETNA | 7190863 | 01 |
| DC | MEDICARE PTAN | G02511A01 | 01 |
| VA | AETNA | 1660925 | 01 |
| VA | 010326338 | 05 | |
| VA | UNITED HEALTH CARE | 5162897 | 01 |
| VA | NCPPO | 774606 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275949463 | Theodore Kim | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2014-07-08 |
| 1952325359 | Theodore Y Kim | Specialist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-07-27 |
| 1275538845 | Theodore Y Kim | Internal Medicine | 7350 Van Dusen Rd, Ste 210, Laurel, MD 20707-5268 | 2005-06-20 |
| Street Address |
4229 LAFAYETTE CENTER DR UNIT 1760 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104812700 | Prasad Rekulapelli | Pediatrics | 4229 Lafayette Center Dr, Suite 1425, Chantilly, VA 20151-1261 | 2005-09-20 |
| 1033534599 | Shannon Lee | Social Worker | 4229 Lafayette Center Dr, Suite 1200, Chantilly, VA 20151-1261 | 2014-02-20 |
| 1982028213 | Atcap Home Health Care Services,llc | Assisted Living Facility | 4229 Lafayette Center Dr, Chantilly, VA 20151-1261 | 2014-02-06 |
| 1841628138 | Fannypants LLC | Durable Medical Equipment & Medical Supplies | 4229 Lafayette Center Dr, Suite 1150, Chantilly, VA 20151-1261 | 2013-10-23 |
| 1003188483 | Commonwealth Gastroenterology, Plc | Internal Medicine | 4229 Lafayette Center Dr, #1000, Chantilly, VA 20151-1261 | 2012-02-01 |
| 1427328418 | Elizabeth Mahoney | Social Worker | 4229 Lafayette Center Dr, Suite 1200, Chantilly, VA 20151-1261 | 2012-01-06 |
| 1083982839 | Sean Mccumiskey | Physical Therapy Assistant | 4229 Lafayette Center Dr, 1250, Chantilly, VA 20151-1261 | 2011-12-08 |
| 1851695878 | Kathryn Mary Kramer | Social Worker | 4229 Lafayette Center Dr, 1200, Chantilly, VA 20151-1261 | 2011-01-05 |
| 1144453606 | Modi & Associates P.C. | Obstetrics & Gynecology | 4229 Lafayette Center Dr, Suite 1000, Chantilly, VA 20151-1261 | 2009-09-01 |
| 1578704797 | Lafayette Family Dentistry, Pllc | Dentist | 4229 Lafayette Center Dr, #1225, Chantilly, VA 20151-1261 | 2009-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700950045 | Allergy Partners, Pllc | Allergy & Immunology | 14520 Avion Pkwy Ste 150, Chantilly, VA 20151-1165 | 2006-11-20 |
| 1306087358 | Shahrooz Shayegan | Allergy & Immunology | 14520 Avion Pkwy Ste 150, Chantilly, VA 20151-1165 | 2009-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954764 | Premier Allergy and Asthma Centers, LLC | Allergy & Immunology | 8100 Ashton Ave Ste 207b, Manassas, VA 20109-5688 | 2020-05-19 |
| 1437630241 | Allergy Partners, Pllc | Allergy & Immunology | 100 Elden St Ste 10, Herndon, VA 20170-4833 | 2018-08-29 |
| 1780053587 | Allergy Partners, Pllc | Allergy & Immunology | 8136 Old Keene Mill Rd Ste A309, Springfield, VA 22152-1853 | 2015-09-22 |
| 1194130294 | Farah Nawaz Khan | Allergy & Immunology | 311 Maple Ave W Ste H, Vienna, VA 22180-4309 | 2014-06-26 |
| 1033470091 | Shahab S Virani | Allergy & Immunology | 1300 Thornton St Ste 200, Fredericksburg, VA 22401-4654 | 2012-06-06 |
| 1235414681 | Ahmad Hamad | Allergy & Immunology | 8233 Old Courthouse Rd Ste 230, Vienna, VA 22182 | 2011-10-17 |
| 1124358486 | Mehmet Eragan, Md | Allergy & Immunology | 3522 Pinetree Ter, Falls Church, VA 22041-1418 | 2010-01-10 |
| 1982869897 | Erin J Klaffky | Allergy & Immunology | 1415 Rolkin Ct Ste 102, Charlottesville, VA 22911-3643 | 2008-07-21 |
| 1114184967 | Karen Robbins | Allergy & Immunology | 1360 Beverly Rd Ste 103, Mc Lean, VA 22101-3621 | 2008-05-20 |
| 1356516546 | Ananth Thyagarajan | Allergy & Immunology | 5210a Lyngate Ct, Burke, VA 22015-4697 | 2008-04-28 |
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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.