DR. CHARLES CHUNGSON KIM (NPI# 1174548341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174548341 |
| Entity Type | Individual |
| Full Name | DR. CHARLES CHUNGSON KIM |
| Credential | M.D. |
| Practice Address |
200 Eden Ave Cincinnati OH 45219-4231 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5134758523 |
| Practice Fax Number | 5134757327 |
| Mailing Telephone | 5132453104 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35085872 | OH | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35 085872 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35 085872 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2829014 | 05 | |
| IN | 200913790 | 05 | |
| KY | 7100034460 | 05 |
| 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 |
| 1154361434 | Charles S. Kim | Specialist | 631 Cleveland Ave S Ste 5, Saint Paul, MN 55116-1244 | 2006-06-07 |
| 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 |
| Street Address |
200 EDEN AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386621548 | Ann Marie Romaker | Internal Medicine | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2005-12-29 |
| 1992165666 | Michele Schroder | Nurse Practitioner | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2016-02-24 |
| 1144691452 | Danielle Caudell Stamper | Nurse Practitioner | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2015-10-13 |
| 1598082877 | Adam Gerard Cole | Internal Medicine | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2010-04-27 |
| 1992034847 | Amber Sterbling Lanich | Nurse Practitioner | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2009-12-23 |
| 1184809873 | Maria V. Indihar | Internal Medicine | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2008-01-01 |
| 1235319500 | Gaurav Khanna | Internal Medicine | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2007-11-05 |
| 1487848875 | Nishant Gupta | Internal Medicine | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2007-08-29 |
| 1649482266 | Sadia Benzaquen | Specialist | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2007-05-04 |
| 1164503355 | Jean M Elwing | Internal Medicine | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215359807 | William Schlechter | Internal Medicine | 7056 Royalgreen Dr, Cincinnati, OH 45244-3621 | 2014-01-15 |
| 1598735029 | Prakash C Goyal | Internal Medicine | 10192 Springfield Pike, Cincinnati, OH 45215 | 2006-01-26 |
| 1386621548 | Ann Marie Romaker | Internal Medicine | 200 Eden Ave, Cincinnati, OH 45219-4231 | 2005-12-29 |
| 1235757238 | Rebecca Marie Maxwell | Internal Medicine | 2123 Auburn Ave Ste 401, Cincinnati, OH 45219-2906 | 2020-07-07 |
| 1548695638 | Trihealth H LLC | Internal Medicine | 10496 Montgomery Rd, Cincinnati, OH 45242-5220 | 2013-09-07 |
| 1104263623 | Robert Matthew Burkes | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2013-05-23 |
| 1740541002 | Arjan Singh Flora | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2012-06-04 |
| 1306102546 | Nathan Michael Pajor | Internal Medicine | 3333 Burnet Ave, Mlc 7041, Cincinnati, OH 45229-3026 | 2012-04-02 |
| 1447547500 | Christopher Charles Radchenko | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219 | 2011-07-08 |
| 1609004704 | Kenwood Pulmonary Medicine Inc | Internal Medicine | 4760 E Galbraith Rd Ste 206, Cincinnati, OH 45236-6704 | 2009-06-26 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on DR. CHARLES CHUNGSON KIM.
| 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.