JERRY Y KIM (NPI# 1164492708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164492708 |
| Entity Type | Individual |
| Full Name | JERRY Y KIM |
| Credential | M.D. |
| Practice Address |
12251 S 80th Ave Palos Community Hospital Palos Heights IL 60463-1256 |
| Mailing Address |
Po Box 239d Park Ridge IL 60068-8018 |
| Practice Telephone | 7089235700 |
| Practice Fax Number | 7089238848 |
| Mailing Telephone | 8477591560 |
| Mailing Fax Number | 8478031006 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912295510 | Jerry J Kim | Surgery | 160 E Artesia St Ste 202, Pomona, CA 91767-2900 | 2011-07-16 |
| 1750459988 | Jerry Chongmin Kim | Dentist | 8622 Lee Hwy Ste A, Fairfax, VA 22031-2148 | 2006-12-04 |
| 1083716856 | Jerry Hyun Kim | Anesthesiology | 1959 Ne Pacific St, C-212, Box 356340, Seattle, WA 98195-6340 | 2006-09-02 |
| 1548276777 | Jerry Byungho Kim | Emergency Medicine | 4101 Torrance Blvd, Emergency Department, Torrance, CA 90503-4607 | 2006-07-31 |
| Street Address |
12251 S 80TH AVE PALOS COMMUNITY HOSPITAL |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359465 | Kurt J Wagner | Emergency Medicine | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2005-07-13 |
| 1558972364 | Anu J Stephen | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2020-08-14 |
| 1730799651 | Ruby Noemi Meyer | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2020-08-05 |
| 1306489711 | Allison Marie Reid | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-10-18 |
| 1548829450 | Christina Gavoni | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-06-13 |
| 1033775945 | Valerie R Giannini | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-05-15 |
| 1073074894 | Jessica Marie Kubicki | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-03-26 |
| 1205393014 | Ruthie Celestine Gavin | Registered Nurse | 12251 S 80th Ave, Palos Heights, IL 60463 | 2019-02-28 |
| 1609332188 | Maria Veronica Tarala | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2019-02-20 |
| 1578029013 | Michelle Katherine Panek | Nurse Practitioner | 12251 S 80th Ave, Palos Heights, IL 60463-0930 | 2019-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1174781884 | Padma N Rao | Anesthesiology | 12803 Quail Ct, Palos Heights, IL 60463-2281 | 2008-05-29 |
| 1215223714 | Ryan Lustenberger | Anesthesiology | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2011-06-22 |
| 1598883993 | Mark Wolowick | Anesthesiology | 12251 S 80th Ave, Palos Heights, IL 60463-1256 | 2007-03-26 |
| 1124151238 | Kristin Mary Commito | Anesthesiology | 12251 S. 80th Ave, Palos Heights, IL 60463-1256 | 2007-03-14 |
| 1285608042 | David J Bird | Anesthesiology | 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463-1256 | 2006-02-16 |
| 1659345791 | Palos Anesthesia Associates, S.c | Anesthesiology | 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463-1256 | 2006-02-15 |
| 1659341204 | Roger H Lee | Anesthesiology | 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463-1256 | 2006-01-25 |
| 1033189659 | Michael J Bautista | Anesthesiology | 12251 S 80th Ave, Palos Community Hospital, Palos Heights, IL 60463-1256 | 2006-01-25 |
| 1881664373 | Otto S Kramer | Anesthesiology | 12251 S 80th Ave, Palos Community Hosptial, Palos Heights, IL 60463-1256 | 2006-01-25 |
| Find all providers in PALOS HEIGHTS | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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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.