ELLIOTT JIWOO KIM


Address: 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616
Phone: 7038105215

ELLIOTT JIWOO KIM (NPI# 1134562051) 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) 1134562051
Entity Type Individual
Full Name ELLIOTT JIWOO KIM
Credential M.D.
Practice Address 1635 N George Mason Dr Ste 310
Arlington
VA 22205-3616
Mailing Address Po Box 75868
Baltimore
MD 21275-3616
Practice Telephone 7038105215
Practice Fax Number 7038105428
Mailing Telephone 8043279242
Mailing Fax Number 8043279812
Enumeration Date 2013-04-10
Last Update Date 2020-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
80032 GA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1215 21st Ave S, Suite 4200, Nashville, TN 372328774 6159360100

Office Location

Street Address 1635 N GEORGE MASON DR STE 310
City ARLINGTON
State VA
Zip Code 22205-3616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629506068 Zoe Frances Otterman Physician Assistant 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 2017-05-30
1154776276 Daniel James Coleman Physician Assistant 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 2016-04-26
1003250887 William Patrick Petersen Jr. Orthopaedic Surgery 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 2013-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417315722 Ruth Jannet Figueroa Lopez Dentist Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 2016-02-01
1083004394 Ashley Pullum Behavioral Analyst 874 N Nottingham St, Arlington, VA 22205 2015-01-26
1548601529 Whitney C Pelton Physical Therapist 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 2013-07-08
1134490311 Advanced Spine and Pain Pllc Orthopaedic Surgery 1625 N George Mason Drive Suite 345, Arlington, VA 22205 2012-01-20
1518269638 Arle Zelma Samuels Pharmacist 5105 W1ilson Blvd, Arlington, VA 22205 2010-11-22
1255640686 Geatenet G Wasia Pharmacist 4851 N Washington Blvd, Arlington, VA 22205 2010-10-04
1518272327 Alexis S Speight Counselor 1725 North George Mason Dr., Arlington, VA 22205 2010-08-17
1821224437 Myriam Ferzli Obstetrics & Gynecology 1635 N George Mason Dr Ste 190, Arlington, VA 22205 2009-06-09
1427232685 United Rehab Inc. Home Health 1661 N. Longfellow Street, Arlington, VA 22205 2007-12-24
1144426404 Teri E Minehart Nurse Practitioner 1701 No. George Mason Drive, Arlington, VA 22205 2007-06-25
Find all providers in zip 22205

Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134490311 Advanced Spine and Pain Pllc Orthopaedic Surgery 1625 N George Mason Drive Suite 345, Arlington, VA 22205 2012-01-20
1447290044 Michael Logan Ramsey Orthopaedic Surgery 800 Orthopedic Way, Arlington, TX 76015-1629 2006-06-08
1497740518 Eric S. Wieser Orthopaedic Surgery 800 Orthopedic Way, Arlington, TX 76015-1629 2005-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548883192 Spine Center PC Orthopaedic Surgery 2726 Electric Rd Ste 203a, Roanoke, VA 24018-3528 2020-05-18
1992299598 Hasz Spine Institute PC Orthopaedic Surgery 1830 Town Center Dr Ste 102, Reston, VA 20190-3216 2018-06-18
1881188506 Nikhil Jain Orthopaedic Surgery 1215 Lee St - Box Number 800159, Charlottesville, VA 22908-0816 2018-06-16
1922516806 Joint Replacement Cin of Northern Virginia LLC Orthopaedic Surgery 1900 Campus Commons Dr Ste 100a, Reston, VA 20191-1561 2018-01-13
1255695490 Advanced Spine and Pain Pllc Orthopaedic Surgery 2046 Jefferson Davis Hwy, 103, Stafford, VA 22554-7276 2012-07-03
1831426204 Maryview Hospital Orthopaedic Surgery 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 2009-11-05
1144403262 Kirven Orthopedic Group, P.C. Orthopaedic Surgery 5701 Cleveland Street, Suite 600, Virginia Beach, VA 23462 2007-12-12
1699859058 Adel S Kebaish Orthopaedic Surgery 7787 Leesburg Pike, B, Falls Church, VA 22043-2412 2006-10-24
1063469393 Sohail K Mirza Orthopaedic Surgery 4250 Chain Bridge Rd, Fairfax, VA 22030-4214 2006-05-30
1659340412 Thomas C Schuler Orthopaedic Surgery 11800 Sunrise Valley Dr Ste 600, Reston, VA 20191 2006-03-15
Find all providers with the same taxonomy

Competitor

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City ARLINGTON
Zip Code 22205

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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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