BONNIE B KIM (NPI# 1023111994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023111994 |
| Entity Type | Individual |
| Full Name | BONNIE B KIM |
| Credential | M.D. |
| Practice Address |
4509 Gravel Pike Green Lane PA 18054-2215 |
| Practice Telephone | 6103480402 |
| Mailing Telephone | 6103480402 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD037535-Y | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000890431 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932260429 | Bonnie Jeone Kim | Physical Medicine & Rehabilitation | 27800 Medial Center Rd, 116, Mission Viejo, CA 92691 | 2006-12-12 |
| 1225598691 | Bonnie Y Kim | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2019-03-22 |
| 1639380801 | Bonnie Esther Kim | Pediatrics | 1935 Motor St, Dallas, TX 75235-7701 | 2007-05-26 |
| Street Address |
4509 GRAVEL PIKE |
| City | GREEN LANE |
| State | PA |
| Zip Code | 18054-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902117583 | Lehigh Valley Mobility | Durable Medical Equipment & Medical Supplies | North 2nd Street, Green Lane, PA 18054 | 2010-06-29 |
| 1568514578 | Community Ambulance Service, Inc. | Ambulance | 209 Walnut Street, Green Lane, PA 18054 | 2007-01-18 |
| 1932351400 | Mary Kathleen Fisher-aman | Specialist | 201 Main St., Green Lane, PA 18054 | 2008-10-16 |
| 1154537397 | Angela Baker | Counselor | 1494 Gravel Pike, Green Lane, PA 18054-2015 | 2007-05-15 |
| 1396078259 | Abimbola Opaleye-oluwo | Counselor | 1494 Gravel Pike, Green Lane, PA 18054-2015 | 2009-09-10 |
| 1275866287 | David M Marsh Jr. | Case Manager/Care Coordinator | 1494 Gravel Pike, Green Lane, PA 18054-2015 | 2009-09-09 |
| 1255798542 | Lavonda Handy | Counselor | 1829 Candlewyck Ln, Green Lane, PA 18054-2048 | 2016-01-18 |
| 1487265971 | Truth Center for Health and Healing LLC | Counselor | 1829 Candlewyck Ln, Green Lane, PA 18054-2048 | 2020-08-10 |
| 1144643883 | Avis Pitkow | Counselor | 3140 Main St, Green Lane, PA 18054-2267 | 2014-01-31 |
| 1962614966 | Karen Caisse | Speech-Language Pathologist | 394 Hill Rd, Green Lane, PA 18054-2321 | 2007-05-04 |
| Find all providers in zip 18054 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103069 | Kongoormutt Ramakrishna Bhat | Obstetrics & Gynecology | 3 Jamison Dr, York, PA 17402-2615 | 2020-08-03 |
| 1811515307 | St. Luke's Physician Group, Inc. | Obstetrics & Gynecology | 3311 Nazareth Rd Fl 1, Easton, PA 18045-2017 | 2020-07-10 |
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1184257826 | St. Luke's Physician Group Inc., Dba | Obstetrics & Gynecology | 2925 William Penn Hwy Ste 104, Easton, PA 18045-5283 | 2020-02-21 |
| 1821633694 | Julia Claire Moran | Obstetrics & Gynecology | 1800 Union Ave, Natrona Heights, PA 15065-2201 | 2019-11-15 |
| 1851957948 | Stacie Marie Rickley | Obstetrics & Gynecology | 1265 New Germany Rd, Summerhill, PA 15958-5301 | 2019-05-14 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1003387572 | Carissa Susan Mcilwain | Obstetrics & Gynecology | 25 Bala Ave Ste 205, Bala Cynwyd, PA 19004-3215 | 2018-12-10 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1689164196 | St. Luke's Physician Group Inc. | Obstetrics & Gynecology | 450 Chew St Ste 204, Allentown, PA 18102-3434 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | GREEN LANE |
| Zip Code | 18054 |
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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.