JENNA MAY KIM (NPI# 1184037129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184037129 |
| Entity Type | Individual |
| Full Name | JENNA MAY KIM |
| Credential | MD |
| Practice Address |
110 S Pantops Dr Charlottesville VA 22911-8672 |
| Practice Telephone | 4349775160 |
| Practice Fax Number | 4349775202 |
| Mailing Telephone | 4349775160 |
| Mailing Fax Number | 4349775202 |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 0101268304 | VA | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
0101268304 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073642245 | Jenna Soojung Kim | Pharmacist | 3875 Alton Pkwy, Irvine, CA 92606-8203 | 2007-03-05 |
| 1548713043 | Jenna Kim | Pharmacist | 25421 Eastern Marketplace Plz, Chantilly, VA 20152-5780 | 2016-08-01 |
| Street Address |
110 S PANTOPS DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-8672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934864 | William A. Macilwaine | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-06-28 |
| 1598023228 | William Scott Grover | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2012-05-01 |
| 1649393679 | Scott Gregory Womack | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2007-04-06 |
| 1548200280 | Charlottesville Eye Associates Ltd | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2006-06-08 |
| 1427058387 | Charlottesville Eye Associates | Eyewear Supplier (Equipment, not the service) | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-07-21 |
| 1992703730 | Charlottesville Eye Associates | Eyewear Supplier (Equipment, not the service) | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-07-13 |
| 1295732840 | Mark A Gonce | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-06-28 |
| 1558368100 | Richard W Morton | Ophthalmology | 110 S Pantops Dr, Charlottesville, VA 22911-8672 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104008226 | Nicholas Adam Ramey | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2007-11-30 |
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on JENNA MAY 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.