SAMUEL CHAN KIM


Address: 2525 W University Ave, Suite 504, Muncie, IN 47303-3421
Phone: 7652897444

SAMUEL CHAN KIM (NPI# 1134129679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134129679
Entity Type Individual
Full Name SAMUEL CHAN KIM
Credential MD
Practice Address 2525 W University Ave
Suite 504
Muncie
IN 47303-3421
Practice Telephone 7652897444
Practice Fax Number 7652898628
Mailing Telephone 7652897444
Mailing Fax Number 7652898628
Enumeration Date 2005-07-27
Last Update Date 2013-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 01058979A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200476300A 05

Other Providers SAMUEL KIM

NPI Name Taxonomy Address Enumeration
1063059178 Samuel Kim Acupuncturist 24904 34th Ave, Little Neck, NY 11363-1407 2019-12-08
1952841793 Samuel Kim Dentist 3441 Burritt Way, La Crescenta, CA 91214 2017-02-27
1295107605 Samuel Kim Pharmacist 1001 E Latham Ave Ste P, Hemet, CA 92543-4435 2015-10-24
1902224587 Samuel M Kim Internal Medicine Weill Cornell Medicine Division of Cardiology, 520 East 70th Street, Starr Pavilion 4th Floor, New York, NY 10021-0010 2014-04-01
1174889141 Samuel Hyojune Kim Emergency Medicine One Gustave L Levy Place, Box 1264, Mount Sinai Medical Center Box 1264, New York, NY 10029 2012-04-04
1023310687 Samuel Sungwon Kim Pediatrics 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211-2145 2010-12-02
1245430206 Samuel Hun Kim General Acute Care Hospital 1420 Crest Vista Dr, Monterey Park, CA 91754-4643 2007-07-18
1992916001 Samuel I Kim Dentist 8811 W Sahara Ave Ste 100, Las Vegas, NV 89117-4813 2007-05-24
1609917285 Samuel I Kim Dentist 21580 Bear Valley Rd, B2-2, Apple Valley, CA 92308-7200 2007-02-08
1184771172 Samuel Suk Kim Thoracic Surgery (Cardiothoracic Vascular Surgery) 676 N Saint Clair St Ste 2320, Chicago, IL 60611 2007-01-04

Office Location

Street Address 2525 W UNIVERSITY AVE
SUITE 504
City MUNCIE
State IN
Zip Code 47303-3421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295739100 Paul B Stewart Surgery 2525 W University Ave, Ste 403, Muncie, IN 47303-3409 2005-06-08
1043818396 Jessica Lynn Handy Registered Nurse 2525 W University Ave, Muncie, IN 47303-3421 2020-10-09
1518502541 Shelby Nicole Laflash Nurse Practitioner 2525 W University Ave, Muncie, IN 47303-3421 2019-11-13
1174164503 Kasey L Ely Nurse Practitioner 2525 W University Ave, Muncie, IN 47303-3421 2019-10-07
1508390592 Pavan K Patel Internal Medicine 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 2017-04-17
1982138988 Sudarsana Bharadwaj Srivangipuram Student in an Organized Health Care Education/Training Program 2525 W University Ave, Suite 401 Iu Health Ball Memorial Hospital, Muncie, IN 47303 2017-04-17
1639603947 Akshita Patel Internal Medicine 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 2017-04-13
1831622737 Sindhu Priya Devarashetty Student in an Organized Health Care Education/Training Program 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 2017-04-06
1053861500 Rachel L Hency Nurse Practitioner 2525 W University Ave, Muncie, IN 47303-3421 2016-10-08
1841647260 Richard Uy Internal Medicine 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 2016-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144790726 Elisabeth Marriah Bernal Nurse Practitioner 2525 W University Ave Suite 300, Muncie, IN 47303 2018-11-27
1013413806 Charles Austin Curtis Student in an Organized Health Care Education/Training Program Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 2018-04-02
1730607359 Ronald Settles Home Health 1812 Carver Dr, Muncie, IN 47303 2017-09-04
1932635034 Abigail Chilsen Student in an Organized Health Care Education/Training Program 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 2017-05-10
1780117176 Adil Khan Internal Medicine Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 2017-04-04
1508212044 Erick Reece Christensen Student in an Organized Health Care Education/Training Program 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 2016-05-13
1700230075 Mallory Nebergall Student in an Organized Health Care Education/Training Program 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2016-04-22
1811341282 Padmini Parameswaran Student in an Organized Health Care Education/Training Program 2525 W. University Ave, Suite 401, Muncie, IN 47303 2016-04-21
1437557345 Great Lakes Family Dental Group-muncie, P.C. Dentist 1003 W. Mcgalliard Road, Muncie, IN 47303 2014-12-09
1194145185 Swetha Boddeda Student in an Organized Health Care Education/Training Program 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2014-04-17
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124653803 Catherine Baugher Urology 2525 W University Ave Ste 504, Muncie, IN 47303-3409 2020-03-03
1326093147 Urology Associates, LLC Urology 2525 W University Ave Suite 504, Muncie, IN 47303-3409 2006-05-23
1649461559 Onisuru T Okotie Urology 2525 W University Ave, Suite 504, Muncie, IN 47303-3421 2007-08-06
1558573709 David W Hall II Urology 2525 W University Ave, Suite 504, Muncie, IN 47303-3421 2007-05-03
1447290721 Albert Nicholas Bruno Jr. Urology 2525 W University Ave, Suite 504, Muncie, IN 47303-3409 2006-06-07
1538109830 Jeffrey Clare Ulrich Urology 2525 W University Ave, Suite 504, Muncie, IN 47303-3421 2006-06-07
1851339709 Robert Simpson Williams Urology 2525 W University Ave, Suite 504, Muncie, IN 47303-3421 2006-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336752799 Mark Alexander Assmus Urology 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 2020-08-26
1245881812 Carol Jean Stephens Urology 1000 N 16th St Ste 210, New Castle, IN 47362-4319 2019-09-25
1376960302 Mohammad Mahmoud Urology 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 2014-03-27
1114364064 Alexander J Tatem Urology 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 2013-06-03
1699015941 Frank Walerko Urology 809 Bittersweet Cove Drive, Mishawaka, IN 46544 2013-02-25
1861744997 Vincent Joseph Santare Urology 134 Carnoustie Ln, Schererville, IN 46375-2926 2012-10-13
1821353814 Little Company of Mary Hospital of Indiana Inc Urology 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 2012-07-06
1154681369 Joshua David Roth Urology 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 2012-05-22
1801152210 Richard James Holloway Urology 18799 Arapaho Ln, South Bend, IN 46637 2012-04-10
1619241783 Michael James Elkins Shanks Urology 3401 S 4th St, Terre Haute, IN 47802 2012-03-06
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Competitor

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City MUNCIE
Zip Code 47303

Improve Information

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Dataset Information

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.

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