EUN M KIM (NPI# 1164703609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164703609 |
| Entity Type | Individual |
| Full Name | EUN M KIM |
| Credential | MA |
| Practice Address |
4200 Monument Rd Phila PA 19131-1625 |
| Practice Telephone | 2158772000 |
| Practice Fax Number | 2155813827 |
| Mailing Telephone | 2158772000 |
| Mailing Fax Number | 2155813827 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC006001 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407301328 | Eun Kim | Social Worker | 229 Shelbourne, Irvine, CA 92620-2176 | 2016-08-20 |
| 1306213400 | Eun Kim | Pharmacist | 125 Sw Campus Dr Apt 23-203, Federal Way, WA 98023-8331 | 2015-08-25 |
| 1043618507 | Eun Kim | Chiropractor | 411 Atlas St Ste A, Brea, CA 92821-3143 | 2014-12-16 |
| 1881091809 | Eun Kim | Student in an Organized Health Care Education/Training Program | 1720 E. 120th St., Los Angeles, CA 90059 | 2014-11-20 |
| 1467678227 | Eun Hee Kim | Dentist | 1135 Nw Gilman Blvd Ste F5, Issaquah, WA 98027-5345 | 2007-04-18 |
| 1356363279 | Eun Joo Kim | Chiropractor | 28245 Southfield Rd, Lathrup Village, MI 48076-2863 | 2006-07-24 |
| 1063476091 | Eun Hyuk Kim | Pediatrics | 1832 Dry Creek Rd, Neonatology Department, San Jose, CA 95124-1200 | 2006-04-14 |
| 1982189742 | Eun Zee Kim | Audiologist-Hearing Aid Fitter | 26726 Crown Valley Pkwy Ste 210, Mission Viejo, CA 92691-8006 | 2018-09-27 |
| 1952802340 | Eun Mi Kim | Physical Therapist | 7803 New Falls Rd Ste B, Levittown, PA 19055-1019 | 2018-02-22 |
| 1891104972 | Eun Kim | Marriage & Family Therapist | 7212 Orangethorpe Ave, Suite 8, Buena Park, CA 90621-3341 | 2014-08-04 |
| Street Address |
4200 MONUMENT RD |
| City | PHILA |
| State | PA |
| Zip Code | 19131-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512331 | Belmont Center for Comprhensive Treatment | Psychiatric Hospital | 4200 Monument Rd, Phila, PA 19131-1625 | 2005-07-19 |
| 1043684988 | Stacey Saleff | Occupational Therapist | 4200 Monument Rd, Rsd, Phila, PA 19131-1625 | 2015-11-16 |
| 1295926194 | Sachin Mehta | Psychiatry & Neurology | 4200 Monument Rd, Phila, PA 19131-1625 | 2007-08-06 |
| 1831261999 | Lawrence Alan Real | Psychiatry & Neurology | 4200 Monument Rd, Phila, PA 19131-1625 | 2006-11-14 |
| 1336153766 | Hillary S Domers | Social Worker | 4200 Monument Rd, Phila, PA 19131-1625 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1952817983 | Clear Thoughts | Counselor | 5933 N Warnock St, Phila, PA 19141-3716 | 2017-12-28 |
| 1538673272 | Sterling Gibson | Counselor | 5933 N Warnock St Apt 1, Phila, PA 19141-3716 | 2017-11-16 |
| 1568726156 | Levis Wayne Kenney | Counselor | 325 E Upsal St, Phila, PA 19119-2348 | 2012-06-27 |
| 1629354642 | Sheila Japko | Counselor | 1435 Walnut St, Phila, PA 19102-3219 | 2011-10-24 |
| 1699986844 | The Center for Growth | Counselor | 233 S 6th St, Suite C-33, Phila, PA 19106-3749 | 2007-05-26 |
| 1972052165 | Aimee M Kurtz | Counselor | 8220 Castor Ave, Phila, PA 19152-2729 | 2016-09-28 |
| 1295022374 | Christine Renee Liebers | Counselor | 8220 Castor Ave, Phila, PA 19152-2729 | 2011-07-08 |
| 1598090136 | Jeanette Anne Pailas | Counselor | 4641 Roosevelt Blvd, Phila, PA 19124-2343 | 2009-10-15 |
| 1366616443 | Theodore James Bunch | Counselor | 10360 Drummond Road, Belmont Center, Phila, PA 19154 | 2008-04-18 |
| Find all providers in PHILA | ||||
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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.