DR. ALFRED HYOUNGJU KIM (NPI# 1124105234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124105234 |
| Entity Type | Individual |
| Full Name | DR. ALFRED HYOUNGJU KIM |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Ste 5c Ste 5c Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave C B 8045 Saint Louis MO 63110-1010 |
| Practice Telephone | 3142862635 |
| Practice Fax Number | 3142862338 |
| Mailing Telephone | 3142862635 |
| Mailing Fax Number | 3142862338 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
2007015208 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 | |
| MO | 1124105234 | 05 |
| Street Address |
4921 PARKVIEW PL STE 5C STE 5C |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945330 | James N Heins | Internal Medicine | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2005-07-13 |
| 1184112344 | Max Christian Petersen | Internal Medicine | 4921 Parkview Pl Ste 5c, Saint Louis, MO 63110-1032 | 2018-04-24 |
| 1598295370 | Nicholas Semenkovich | Internal Medicine | 4921 Parkview Pl Ste 5c, Saint Louis, MO 63110-1032 | 2017-06-14 |
| 1629421771 | Dennis Paul Littleton | Nurse Practitioner | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2016-07-13 |
| 1861850851 | Humaa Ahmed | Physician Assistant | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2016-02-04 |
| 1467839241 | Kristen Richardson | Nurse Practitioner | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2015-04-30 |
| 1922345214 | Brittany Ann Heady | Physician Assistant | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2013-01-07 |
| 1336437730 | Fadi Tohme | Internal Medicine | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2011-07-19 |
| 1235459504 | Deepali Prabir Sen | Internal Medicine | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2010-06-09 |
| 1407086564 | Monica Chang-panesso | Internal Medicine | 4921 Parkview Pl Ste 5c, Ste 5c, Saint Louis, MO 63110-1032 | 2009-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1801216551 | Joshy Thomas Pathiparampil | Internal Medicine | 12700 Southfork Rd Ste 235, Saint Louis, MO 63128-3201 | 2014-04-21 |
| 1740552280 | David M. Lieberman | Internal Medicine | 28 Nantucket Ln, Saint Louis, MO 63132-4137 | 2012-01-30 |
| 1932393162 | Celia Jow Fang Lin | Internal Medicine | 1800 S Brentwood Blvd, #1116, Saint Louis, MO 63144-1820 | 2007-08-30 |
| 1407896129 | Sona Kamat | Internal Medicine | 13100 Manchester Rd Ste 70, Saint Louis, MO 63131-1703 | 2006-06-08 |
| 1770544066 | Arthritis Consultants Inc. | Internal Medicine | 522 N New Ballas Rd Ste 240, Saint Louis, MO 63141 | 2006-03-28 |
| 1295725182 | Ying Du | Internal Medicine | 3009 N Ballas Rd Ste 100b, Saint Louis, MO 63131-2322 | 2005-10-24 |
| 1356830830 | West County Rheumatology, LLC | Internal Medicine | 13100 Manchester Rd Ste 70, Saint Louis, MO 63131-1703 | 2018-05-09 |
| 1114452877 | Mandala Medical Services, LLC | Internal Medicine | 5000 Cedar Plaza Pkwy, Ste 220, Saint Louis, MO 63128-3854 | 2017-05-01 |
| 1578917464 | St. Anthony's Physician Organization | Internal Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2016-04-18 |
| 1952763328 | Eric R Anderson | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2016-03-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.