IL JOON PAIK (NPI# 1194039347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194039347 |
| Entity Type | Individual |
| Full Name | IL JOON PAIK |
| Credential | M.D. |
| Practice Address |
1400 Nw 12th Ave Miami FL 33136-1003 |
| Practice Telephone | 3055892023 |
| Practice Fax Number | 3056892025 |
| Mailing Telephone | 3055892023 |
| Mailing Fax Number | 3056892025 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 003680 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME137089 | FL | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
265927 | NY | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
265927 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1400 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211832 | Thomas J Fernandez | Nurse Anesthetist, Certified Registered | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2005-08-03 |
| 1811598469 | Elizabeth Olga Ferrer | Dietitian, Registered | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-11-02 |
| 1043810286 | Jose R Belen | Physician Assistant | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-27 |
| 1023617438 | Lazaro Alejandro Gonzalez | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-19 |
| 1285232843 | Julia Bradley | Physical Therapist | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-15 |
| 1841816386 | Daniel Andres Lozada | Registered Nurse | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-06-21 |
| 1346873296 | Lillian Soto | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-02-19 |
| 1699315804 | Laira D Sanchez | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-01-15 |
| 1093350803 | Edgard Roa | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2019-11-15 |
| 1659915569 | Natalie Collazo | Registered Nurse | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1326498676 | Conviva Specialty, LLC | Internal Medicine | 12905 Sw 42nd St Ste 103, Miami, FL 33175-2910 | 2016-06-17 |
| 1669812988 | Pedro J Ramos Md Pa | Internal Medicine | 4101 Battersea Rd, Miami, FL 33133-6603 | 2013-07-01 |
| 1982959169 | Daylem Antunez | Internal Medicine | 3661 S Miami Ave Ste 805, Miami, FL 33133-4214 | 2012-07-13 |
| 1497021331 | Vanessa Mendez | Internal Medicine | 1611 Nw 12th Ave Ofc 600-d, Miami, FL 33136 | 2012-03-26 |
| 1831485614 | Stephen Eskin M.d., P.a. | Internal Medicine | 2601 Sw 37th Ave Ste 805, Miami, FL 33133-2751 | 2011-06-21 |
| 1669771259 | Jodie Adam Barkin | Internal Medicine | 1120 Nw 14th St Ste 1188, Miami, FL 33136-2107 | 2011-03-22 |
| 1043498389 | A. Omar Vento | Internal Medicine | 4100 Nw 9th St Ste 200, Miami, FL 33126-3678 | 2008-02-08 |
| 1891987806 | David S Goldberg | Internal Medicine | University of Miami, Division of Hepatology, 1120 Nw 14th Street, C240, Suite. 1112, Miami, FL 33133 | 2007-08-14 |
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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.