CHARLES S. KIM (NPI# 1154361434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154361434 |
| Entity Type | Individual |
| Full Name | CHARLES S. KIM |
| Credential | M.D. |
| Practice Address |
631 Cleveland Ave S Ste 5 Saint Paul MN 55116-1244 |
| Mailing Address |
Po Box 11839 Saint Paul MN 55111-0839 |
| Practice Telephone | 9843773422 |
| Mailing Telephone | 9843773422 |
| Mailing Fax Number | 8557401940 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 41236 | TN | Other Service Providers |
| N | 208100000X | Physical Medicine & Rehabilitation | 41236 | TN | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 57253 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8400 Normandale Lake Blvd, Suite 920, Bloomington, MN 554371085 | 9843773422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427467331 | Charles Kim | Dentist | 18605 Cecelia Way, Cerritos, CA 90703-6136 | 2014-08-05 |
| 1912331141 | Charles J Kim | Dentist | 406 Sw 336th Ct, Federal Way, WA 98023-8301 | 2013-08-23 |
| 1306090246 | Charles J Kim | Dentist | 500 N Central Ave Ste 700, Glendale, CA 91203-3342 | 2008-11-05 |
| 1043420268 | Charles Kim | Optometrist | 94-07a 46 Avenue, 2nd Floor, Elmhurst, NY 11373 | 2007-05-23 |
| 1063429447 | Charles Junghyun Kim | Dentist | 10217 19th Ave Se Ste 202, Everett, WA 98208-4266 | 2006-08-01 |
| 1699208074 | Charles Kim | Student in an Organized Health Care Education/Training Program | 430 Clarkson Avenue, Room Bsb 2-74, Brooklyn, NY 11203 | 2017-04-04 |
| 1740674761 | Charles C Kim | Hospitalist | 1375 E 19th Ave, Denver, CO 80218-1114 | 2015-03-27 |
| 1104242924 | Charles Kim | Ophthalmology | 1899 W March Ln, Stockton, CA 95207-6402 | 2014-03-18 |
| 1447523568 | Charles Chanwoong Kim | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386-9163 | 2012-02-21 |
| 1215204227 | Charles Kim | Pharmacist | 8201 Greenleaf Ave, Whittier, CA 90602-2910 | 2011-11-18 |
| Street Address |
631 CLEVELAND AVE S STE 5 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55116-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568017374 | The Bridge Autism Clinic LLC | Clinic/Center | 690 Cleveland Ave South, Suite 100, St Paul, MN 55116 | 2019-08-08 |
| 1205306875 | Center for Validation and Change, L.L.C. | Social Worker | 790 Cleveland Avenue S. Ste; 211 790, St. Paul, MN 55116 | 2018-11-27 |
| 1114391307 | Therese Ann Wengler | Rehabilitation Hospital | 1206 Niles Avenue, Saint Paul, MN 55116 | 2015-11-25 |
| 1306220579 | Lauren Ann Wier | Social Worker | 577 Wawick St, Saint Paul, MN 55116 | 2015-07-16 |
| 1982097325 | Norah Hoverson | Dentist | 670 Cleveland Ave S Ste 100, Saint Paul, MN 55116 | 2015-03-10 |
| 1316336803 | Ryan W. Nolte | Chiropractor | 1150 Montreal Ave Ste 101, Saint Paul, MN 55116 | 2015-01-21 |
| 1316348642 | Highland Gw, LLC | Assisted Living Facility | 1925 Graham Avenue, St. Paul, MN 55116 | 2014-09-05 |
| 1972941185 | Creations Midwifery, LLC | Advanced Practice Midwife | 1235 Saint Paul Avenue, Saint Paul, MN 55116 | 2013-06-10 |
| 1992075428 | Nels Health Care, LLC | Licensed Practical Nurse | 2285 Stewart Ave, Suite 1107, St Paul, MN 55116 | 2011-12-30 |
| 1962717728 | Lindsey Hammond Teigland | Psychologist | 690 Cleveland Avenue South, St. Paul, MN 55116 | 2010-08-17 |
| Find all providers in zip 55116 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790291748 | Allied Physical Therapy LLC | Physical Medicine & Rehabilitation | 506 E Kenny Road, Suite 100, Saint Paul, MN 55130-4555 | 2017-12-28 |
| 1306898556 | Margaret Ann Mulderig | Physical Medicine & Rehabilitation | 280 Smith Ave N Ste 220, Saint Paul, MN 55102 | 2006-05-16 |
| 1255390449 | Bradley A Helms | Physical Medicine & Rehabilitation | 280 North Smith Avenue, Doctors Professional Building, Saint Paul, MN 55102-2459 | 2006-03-17 |
| 1487294401 | Impact Physical Medicine of St. Paul | Physical Medicine & Rehabilitation | 1600 University Ave W Ste 10, Saint Paul, MN 55104-3898 | 2020-01-07 |
| 1790176931 | Emily Halverson | Physical Medicine & Rehabilitation | 2785 White Bear Ave N, N Ste 108-d, Saint Paul, MN 55109-1307 | 2015-02-10 |
| 1972912277 | Twin Cities Medical Group Pllc | Physical Medicine & Rehabilitation | 2785 White Bear Ave N, Ste 108-d, Saint Paul, MN 55109-1307 | 2014-08-12 |
| 1558781120 | David Mark Bradberry Jr. | Physical Medicine & Rehabilitation | 280 Smith Ave N Ste 220, Saint Paul, MN 55102-2459 | 2014-04-22 |
| 1477836831 | Kelly Lynn Cho | Physical Medicine & Rehabilitation | 200 University Ave E, Saint Paul, MN 55101-2507 | 2011-09-22 |
| 1598909087 | Joy Christine Durand | Physical Medicine & Rehabilitation | 200 University Ave E, Saint Paul, MN 55101 | 2009-04-28 |
| 1376707836 | Gretchen Mary Niemioja | Physical Medicine & Rehabilitation | 640 Jackson St, Mail Stop 11503g, Saint Paul, MN 55101-2502 | 2008-07-14 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55116 |
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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.