JEE KIM


Address: 5779 E Mayo Blvd, Phoenix, AZ 85054-4502
Phone: 4803422000

JEE KIM (NPI# 1174083075) 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) 1174083075
Entity Type Individual
Full Name JEE KIM
Practice Address 5779 E Mayo Blvd
Phoenix
AZ 85054-4502
Practice Telephone 4803422000
Mailing Telephone 9492788650
Enumeration Date 2019-03-25
Last Update Date 2020-09-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JEE KIM

NPI Name Taxonomy Address Enumeration
1891150298 Jee Kim Licensed Practical Nurse 100 Ronkonkoma Ave, Apt 4d, Lake Ronkonkoma, NY 11779-2742 2015-12-29
1386929776 Jee Young Kim Dentist Bldg 320 Krukowski St, Usa Dentac, Tripler Amc, HI 96859-5000 2011-10-17
1245423243 Jee Y Kim Optometrist 978 S Vermont Ave, Los Angeles, CA 90006-1611 2007-08-22
1194352187 Jee Hyun Kim Student in an Organized Health Care Education/Training Program 7901 Broadway Rm A1-16, Elmhurst, NY 11373-1329 2020-03-27
1003844895 Jee Hoon Kim Chiropractor 2317 W Chicago Ave, 2 Fl., Chicago, IL 60622-4723 2006-06-29

Office Location

Street Address 5779 E MAYO BLVD
City PHOENIX
State AZ
Zip Code 85054-4502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043219389 Hasan Khamash Internal Medicine 5779 E Mayo Blvd, Phoenix, AZ 85054 2005-07-19
1831709393 Sarah Jayne Refner Nurse Practitioner 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 2020-08-08
1780215616 Amy Kole Physician Assistant 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 2020-01-29
1902315435 Stacie Attig Registered Nurse 5779 E Mayo Blvd, Phoenix, AZ 85054 2017-09-27
1386906667 Rudy Rahme Neurological Surgery 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 2012-06-12
1083904221 Deborah S Dossick Student in an Organized Health Care Education/Training Program 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 2011-04-08
1477863298 Shari T Perez Nurse Practitioner 5779 E Mayo Blvd, Phoenix, AZ 85054 2010-10-14
1427367473 Shawna Sando Boyle Physician Assistant 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 2010-09-24
1851609309 Jaime L Engholdt Physician Assistant 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 2010-09-17
1386876878 Debra L Hainline Registered Nurse 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 2009-08-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992255301 Stephanie Gamber Registered Nurse 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 2016-10-10
1508231960 Deborah Elam Acupuncturist 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 2015-12-09
1811176860 Desert Ridge Pediatric Dentistry Clinic/Center 5315 E. High Street, Suite 115, Phoenix, AZ 85054 2007-10-26
1902968639 Ryan David Schulze Chiropractor 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 2006-12-16
1477517423 Gary Betz II Md PC Internal Medicine 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 2006-04-14
1689658395 Alice G Mccormick Internal Medicine 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 2005-12-06
1770576241 Michelle Renee Kuhn Physician Assistant 6950 E Chauncey Ln, Phoenix, AZ 85054 2005-08-30
1609869981 Jeffrey Alan Smith Optometrist 18325 N Allied Way Ste 100, Phoenix, AZ 85054 2005-08-23
1497753750 Rajeev Agarwal Pediatrics 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 2005-07-11
1740283878 Charles J Manak Internal Medicine 5777 E Mayo Blvd, Phoenix, AZ 85054 2005-05-23
Find all providers in zip 85054

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922615814 Ethan Robert Curtis Student in an Organized Health Care Education/Training Program 9467 Dinglehole Rd, Phoenix, NY 13135-9504 2020-09-25
1508470642 Aisha J Ramirez-maya Student in an Organized Health Care Education/Training Program 5230 S 40th Pl, Phoenix, AZ 85040-3909 2020-09-05
1003429846 Krista Lyn Beerling Student in an Organized Health Care Education/Training Program 5827 E Indian School Rd, Phoenix, AZ 85018-6104 2020-08-30
1568075877 Melissa Coronado Student in an Organized Health Care Education/Training Program 1906 W Latona Ln, Phoenix, AZ 85041-7703 2020-08-26
1801409248 Javier Bruno Limon Student in an Organized Health Care Education/Training Program 4233 N 77th Dr, Phoenix, AZ 85033-2401 2020-08-25
1841803277 Tiffany Figueroa Student in an Organized Health Care Education/Training Program 3416 N 44th St Unit 24, Phoenix, AZ 85018-6044 2020-08-25
1669085353 Lea Yusupov Student in an Organized Health Care Education/Training Program 325 W Anderson Ave, Phoenix, AZ 85023-6545 2020-08-24
1528671179 Olivia Rose Warner Student in an Organized Health Care Education/Training Program 2308 E Heatherbrae Dr, Phoenix, AZ 85016-6216 2020-08-24
1689285470 Mati Aamed Student in an Organized Health Care Education/Training Program 5350 N 20th St, Phoenix, AZ 85016-3321 2020-08-13
1124638689 Emily Anne Nelson Student in an Organized Health Care Education/Training Program 22829 N 39th Run, Phoenix, AZ 85050-5417 2020-08-08
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85054

Improve Information

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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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