CHOONG H. KIM, M.D., INC. (NPI# 1104029198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104029198 |
| Entity Type | Organization |
| Organization Name | CHOONG H. KIM, M.D., INC. |
| Practice Address |
2825 Lake Ave Ashtabula OH 44004-4961 |
| Practice Telephone | 4409981200 |
| Mailing Telephone | 4409981200 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHOONG H KIM (OWNER) |
| Authorized Official Telephone | 4409981200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0418711 | 05 | |
| OH | INDIVIDUAL NPI NUMBER | 1508877218 | 01 |
| Street Address |
2825 LAKE AVE |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-4961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508877218 | Choong H Kim | Internal Medicine | 2825 Lake Ave, Ashtabula, OH 44004 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295990158 | Courtney Dean Borruso | Internal Medicine | 2131 Lake Ave Suite 4, Ashtabula, OH 44004 | 2008-07-21 |
| 1336368588 | University Primary Care Practices Inc | Internal Medicine | 1184 Lake Ave, Ashtabula, OH 44004-2930 | 2007-04-25 |
| 1306837844 | Orlando Antonio Dsilva | Internal Medicine | 1111 Lake Ave, Ashtabula, OH 44004-2929 | 2005-11-03 |
| 1780677310 | A Seenam Lee | Internal Medicine | 2143 West Prospect Rd, Ashtabula, OH 44004 | 2005-08-30 |
| 1932364940 | Sanjay Kumar Srivastava | Internal Medicine | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2008-07-20 |
| 1881883940 | David Weinerman | Internal Medicine | 2112 Lake Ave, Ashtabula, OH 44004-3436 | 2007-10-15 |
| 1669523726 | Hospitalist Medicine Physicians of Ashtabula County, Ltd | Internal Medicine | 2420 Lake Ave, Ashtabula, OH 44004-4954 | 2007-01-16 |
| 1508877218 | Choong H Kim | Internal Medicine | 2825 Lake Ave, Ashtabula, OH 44004 | 2006-08-10 |
| 1699701904 | Ronald James Malleis | Internal Medicine | 1230 Lake Ave, Ashtabula, OH 44004-2932 | 2006-06-26 |
| 1528094059 | Community Hospitalist, LLC | Internal Medicine | 2420 Lake Ave, Ashtabula, OH 44004-4954 | 2006-06-25 |
| Find all providers in ASHTABULA | ||||
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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.