DR. ELLEN M KIM (NPI# 1124024229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124024229 |
| Entity Type | Individual |
| Full Name | DR. ELLEN M KIM |
| Credential | MD |
| Practice Address |
19200 N Kelsey St Monroe WA 98272-1431 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3607949101 |
| Practice Fax Number | 3608054709 |
| Mailing Telephone | 8663662983 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2015-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00046853 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD419016 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8458986 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548331564 | Ellen Hyun Ju Kim | Pediatrics | 2329 East Huntington Drive, Duarte, CA 91010 | 2006-11-13 |
| 1275161879 | Ellen Kim | Student in an Organized Health Care Education/Training Program | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2020-03-30 |
| 1265982821 | Ellen Kim | Occupational Therapist | 8135 Painter Ave Ste 200, Whittier, CA 90602-3168 | 2016-10-07 |
| 1710374103 | Ellen Kim | Radiology | 75 Francis St, Asb1- L2, Boston, MA 02115-6110 | 2015-04-23 |
| 1013321108 | Ellen Kim | Pharmacist | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2014-06-17 |
| 1982044806 | Ellen Kim | Pharmacist | 164 W Chelten Ave, Philadelphia, PA 19144-3302 | 2013-06-25 |
| 1912249400 | Ellen Sohyun Kim | Internal Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2013-03-22 |
| 1689847584 | Ellen Kim | Pharmacist | 1000 1st Ave, New York, NY 10022-4105 | 2008-04-11 |
| 1912069329 | Ellen H Kim | Family Medicine | 2324 Second Street Pike, Wrightstown Family Medicine PC, Wrightstown, PA 18940-4110 | 2006-12-14 |
| 1275600637 | Ellen Kim | Family Medicine | 4253 Montgomery Blvd Ne, Suite 100, Albuquerque, NM 87109-1106 | 2006-11-29 |
| Street Address |
19200 N KELSEY ST |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629419 | Davinder Singh Jhattu | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2020-05-06 |
| 1932720406 | Lina Le | Student in an Organized Health Care Education/Training Program | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2020-05-06 |
| 1730712779 | Donna Flora Lee | Nurse Practitioner | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2020-02-18 |
| 1396303251 | Joshua Michael Baxter | Student in an Organized Health Care Education/Training Program | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2019-06-04 |
| 1457919482 | Kaitlyn Lauren Kincaid | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2019-06-04 |
| 1972074938 | Laboratory Corporation of America | Clinical Medical Laboratory | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2018-12-16 |
| 1306326988 | Priscilla Sanchez | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2018-08-14 |
| 1235618166 | Spencer Mister | Social Worker | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2018-08-10 |
| 1316477789 | April Suen | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2017-06-18 |
| 1174053540 | Poonam Patel | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2017-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| 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 |
|---|---|---|---|---|
| 1811598055 | Hudson Valley Clinica Medica | Internal Medicine | 110 Stage Rd, Monroe, NY 10950-3513 | 2020-11-04 |
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1265804181 | Cor Medical LLC | Internal Medicine | 100 Centurylink Dr, Mailstop La00010100-153, Monroe, LA 71203-2041 | 2015-10-30 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| 1316352677 | Affinity Health Group, LLC | Internal Medicine | 1 Bancroft Cir, Monroe, LA 71201-5101 | 2014-06-25 |
| 1679870612 | Lawson Medical Management Services, LLC | Internal Medicine | 127 E Shore Rd, Monroe, LA 71203-8857 | 2011-02-25 |
| 1851520910 | Samih Mawari | Internal Medicine | 1084 N Monroe St, Monroe, MI 48162-3193 | 2009-07-10 |
| 1477787786 | Jan Eberly Erlandson | Internal Medicine | 2630 20th Ave, Monroe, WI 53566-3616 | 2009-05-14 |
| 1578724886 | Amar Mohan | Internal Medicine | 704 Breedlove Dr, Ste A, Monroe, GA 30655-2054 | 2008-06-19 |
| 1386803971 | Rolandponarskiatprofessionalcorporation | Internal Medicine | 487 Rowland Dr, Monroe, LA 71203-8545 | 2008-06-09 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on DR. ELLEN M KIM.
| 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.