DR. HAN KIM (NPI# 1164485934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164485934 |
| Entity Type | Individual |
| Full Name | DR. HAN KIM |
| Credential | M.D. |
| Practice Address |
5645 Main St Flushing NY 11355-5045 |
| Mailing Address |
3211 Francis Lewis Blvd Flushing NY 11358-1922 |
| Practice Telephone | 7186701594 |
| Practice Fax Number | 7186701901 |
| Mailing Telephone | 7183529850 |
| Mailing Fax Number | 7183520102 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2011-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
191003 | NY | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
191003 | NY | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
191003 | NY | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
191003 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
191003 | NY | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
191003 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01735813 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013432632 | Han Kim | Dentist | 133 Whispering Trl, Irvine, CA 92602-0800 | 2017-08-04 |
| 1912241134 | Han Seong Kim | Chiropractor | 151 87th St, Suite 1, Daly City, CA 94015-1696 | 2012-11-15 |
| 1538369285 | Han Na Kim | Physical Therapist | 41-09 108th St., Suite Ll, Corona, NY 11368 | 2007-07-20 |
| 1124645122 | Han Na Kim | Pharmacist | 42520 Bob Hope Dr, Rancho Mirage, CA 92270-4471 | 2020-06-25 |
| 1134768047 | Han Man Kim | Physical Therapist | 827 Ne Lakewood Blvd, Lees Summit, MO 64064-1366 | 2019-12-26 |
| 1861946683 | Han S. Kim | Dentist | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2016-08-10 |
| 1003241191 | Han Sung Kim | Speech-Language Pathologist | 2103 Tenakill Park E, Cresskill, NJ 07626-2023 | 2013-09-07 |
| 1760821375 | Han Kim | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2013-06-17 |
| 1447484647 | Han Sung Kim | Dentist | 2727 W Olympic Blvd, 311, Los Angeles, CA 90006-2637 | 2009-05-04 |
| 1376710665 | Han Jo Kim | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2008-05-15 |
| Street Address |
5645 MAIN ST |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094400 | Maryanne Chin | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2005-06-28 |
| 1093315160 | Ashlee Mishae Dillon | Registered Nurse | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-28 |
| 1275131229 | Dakai Liu | Spec/Tech, Pathology | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-13 |
| 1194322552 | Priyamvada Pillai | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-07 |
| 1831705078 | Justine Chirichella | Dietitian, Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-09-22 |
| 1063037422 | Chuhyun Jana Myong | Pharmacist | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-11 |
| 1427673169 | Isabel Yuabov | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-09 |
| 1174147011 | Philemon Chu | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-06 |
| 1710501044 | Lea Chernoff | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-02 |
| 1639793201 | Jiawen Huang | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2020-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960690 | New York Medical Diagnostic Imaging PC | Radiology | 13617 39th Ave Ste 1d, Flushing, NY 11354-5504 | 2020-10-20 |
| 1184104903 | Multicare Medical Diagnostics PC | Radiology | 13249 41st Rd Ste 1b, Flushing, NY 11355-4286 | 2018-08-21 |
| 1922551027 | Full Frame Radiology & Diagnostic Imaging Group Pllc | Radiology | 13237 Pople Ave, Flushing, NY 11355-4448 | 2016-07-26 |
| 1750679643 | Annie Yuen | Radiology | 19648 45th Ave, Flushing, NY 11358-3508 | 2011-07-13 |
| 1639494941 | Sonus Medical PC | Radiology | 13656 39th Ave Ste 303b, Flushing, NY 11354-5508 | 2010-03-30 |
| 1093990681 | David J. Axelrod | Radiology | 17660 Union Tpke Ste 130, Flushing, NY 11366 | 2008-01-02 |
| 1316149560 | Diagnostic Radiology for Women PC | Radiology | 170-17 Northern Boulevard, Flushing, NY 11358 | 2007-06-01 |
| 1033325865 | Elmont Open Mri & Diagnostics Radiology, PC | Radiology | 16105 Horace Harding Expy, Flushing, NY 11365-1426 | 2007-05-16 |
| 1992882682 | Kissena Medical Imaging,p.c. | Radiology | 140-15 Holly Ave, Flushing, NY 11355-3433 | 2006-11-01 |
| 1780771634 | Main Street Radiology At Bayside,llc | Radiology | 3225 Francis Lewis Blvd, Flushing, NY 11358-1922 | 2006-10-10 |
| Find all providers in FLUSHING | ||||
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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.