AMANDA JANE WONG KIM (NPI# 1992192579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992192579 |
| Entity Type | Individual |
| Full Name | AMANDA JANE WONG KIM |
| Other Name | AMANDA WONG |
| Credential | MD |
| Practice Address |
3915 Talbot Rd S Ste 401 Renton WA 98055-5738 |
| Practice Telephone | 4256903445 |
| Mailing Telephone | 4256903445 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60845015 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A144999 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Potrero Ave, Bldg 80-83, San Francisco, CA 941103518 | 4152068611 | |
| 1401 Madison St Ste 100, Seattle, WA 98104 | 2063866111 | 2063866113 |
| 995 Potrero Ave Bldg 80-3, San Francisco, CA 941102859 | 4152065252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956330 | Amanda Kristen Kim | Speech-Language Pathologist | 3570 Executive Dr Ste 208, Uniontown, OH 44685-8712 | 2018-09-19 |
| 1386903193 | Amanda Kim | Psychologist | 530 Washington Blvd Apt 3e, Oak Park, IL 60302-4063 | 2012-05-14 |
| 1790309243 | Amanda Yj Kim | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-01 |
| 1275161713 | Amanda Kim | Psychiatry & Neurology | 75 Francis St, Boston, MA 02115-6106 | 2020-03-30 |
| 1336702919 | Amanda Kim | Acupuncturist | 5 Park Dr, Burlington, MA 01803-1021 | 2019-04-18 |
| 1750898623 | Amanda Kim | Behavioral Analyst | 268 Bush St Ste 3039, San Francisco, CA 94104-3503 | 2018-01-02 |
| 1093251605 | Amanda Kim | Assistant Behavior Analyst | 6330 Variel Ave, Suite 102, Woodland Hills, CA 91367-2543 | 2017-01-06 |
| 1689050809 | Amanda Kim | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2015-08-11 |
| 1043470057 | Amanda Kim | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-06-12 |
| Street Address |
3915 TALBOT RD S STE 401 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619930088 | Richard O Avalon | Family Medicine | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2006-04-07 |
| 1609491463 | Brian Coombs Ostler | Student in an Organized Health Care Education/Training Program | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2020-06-08 |
| 1437773330 | Leah Sage Foley | Family Medicine | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2020-06-05 |
| 1619591526 | Maryam Sabetian | Family Medicine | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2020-06-05 |
| 1851915755 | Jacqueline Marie Hendrix | Family Medicine | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2020-06-05 |
| 1871117754 | Soumya Choudhury | Family Medicine | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2020-06-05 |
| 1053979526 | Brittany Michelle Buescher | Student in an Organized Health Care Education/Training Program | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2019-05-30 |
| 1548828056 | Daniel Christian Bernet | Student in an Organized Health Care Education/Training Program | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2019-05-30 |
| 1023676541 | Brandi Jo Boden | Student in an Organized Health Care Education/Training Program | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2019-05-30 |
| 1063070530 | Matthew Julian Duenas | Student in an Organized Health Care Education/Training Program | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1639609803 | Kirsten Margaret Anderson | Family Medicine | 1205 N 10th St Ste 103-c, Renton, WA 98057-5577 | 2017-06-19 |
| 1366823742 | Timothy Asher | Family Medicine | 10555 Se Carr Rd # M, Renton, WA 98055-5820 | 2015-06-11 |
| 1508150152 | Kristin F Parker | Family Medicine | 3915 Talbot Rd S Ste 200, Renton, WA 98055-5738 | 2011-05-31 |
| 1124264577 | Kaiser Foundation Health Plan of Washington | Family Medicine | 2715 Naches Ave Sw, Gsw-a1n-02, Renton, WA 98057-2627 | 2009-01-06 |
| 1124204748 | Judith Lynn Molin | Family Medicine | Ne 8th Ave and Park Ave North, The Boeing Company, Renton, WA 98055 | 2008-01-14 |
| 1215012596 | William Zeev N Young | Family Medicine | 920 N 1st St, Renton, WA 98057-5759 | 2006-10-26 |
| 1285724831 | Paradigm Family Medicine Pllc | Family Medicine | 700 Sw 39th St, Suite 216, Renton, WA 98055-4952 | 2006-10-13 |
| 1568579092 | John K Mayeno | Family Medicine | 17900 Talbot Rd, S # 102, Renton, WA 98055 | 2006-08-23 |
| 1801817465 | Ronald Schubert | Family Medicine | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2006-07-21 |
| Find all providers in RENTON | ||||
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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.