DANIEL SHINIL KIM (NPI# 1194870063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194870063 |
| Entity Type | Individual |
| Full Name | DANIEL SHINIL KIM |
| Credential | MD |
| Practice Address |
1801 Salmon Creek Ln Juneau AK 99801-7864 |
| Practice Telephone | 9075862434 |
| Mailing Telephone | 9075862434 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 7316 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036121611 3 | 05 | |
| MO | 1194870063 | 05 | |
| AK | MD9491 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703743 | Daniel Kim | Student in an Organized Health Care Education/Training Program | 140 Coachman Pl E, Syosset, NY 11791-3053 | 2019-05-01 |
| 1366968679 | Daniel M Kim | Chiropractor | 5597 S Rainbow Blvd Ste 140, Las Vegas, NV 89118-1898 | 2017-08-17 |
| 1427581016 | Daniel Kim | Podiatrist | 3031 W March Ln Unit 310e, Stockton, CA 95219-6500 | 2017-04-10 |
| 1215487673 | Daniel Kim | Pharmacist | 13032 Abing Ave, San Diego, CA 92129-2288 | 2016-10-10 |
| 1699223693 | Daniel C Kim | Chiropractor | 2730 Gallows Rd, Apt 320, Vienna, VA 22180-7476 | 2016-09-19 |
| 1417347006 | Daniel Kim | Dentist | 800 Woodbury Rd Ste B, Woodbury, NY 11797-2503 | 2015-02-03 |
| 1104222140 | Daniel Kim | Acupuncturist | 28229 Ridgepoint Ct, Rancho Palos Verdes, CA 90275-3251 | 2014-11-18 |
| 1528400264 | Daniel S Kim | Dentist | 300 Old Forge Ln, Suite 301, Kennett Square, PA 19348-1897 | 2013-07-23 |
| 1255693297 | Daniel Kim | Student in an Organized Health Care Education/Training Program | 2552 Marron Rd Apt 301, Carlsbad, CA 92010-8397 | 2012-06-14 |
| 1851652382 | Daniel Jiyong Kim | Chiropractor | 1354 The Alameda, Suite 11, San Jose, CA 95126-5000 | 2012-05-31 |
| Street Address |
1801 SALMON CREEK LN |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-7864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245287861 | Justine Emerson | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2006-05-28 |
| 1104476282 | Bailey Alexandra Rahn | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2019-09-19 |
| 1437671039 | Sarah Keeley Sjostedt | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2017-07-14 |
| 1255871034 | Casey Ploof | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2017-02-28 |
| 1437532363 | Lindsey N Leder | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2015-07-09 |
| 1346560042 | Jeannette Lynn Cook | Family Medicine | 1801 Salmon Creek Ln, Juneau, AK 99801 | 2010-06-03 |
| 1104081991 | Rachel Christine Gladhart | Advanced Practice Midwife | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2008-07-22 |
| 1568669489 | Deborah Kim Gardner | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2007-07-03 |
| 1699842989 | Tina M Pleasants | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2006-11-29 |
| 1740391028 | Rebecca Ann Young | Nurse Practitioner | 1801 Salmon Creek Ln, Juneau, AK 99801-7864 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689853210 | Watertown Regional Medical Center Inc | Family Medicine | 334 S Western Ave, Juneau, WI 53039-1163 | 2007-10-31 |
| 1780718387 | Maureen Patricia Longworth | Family Medicine | 3099 Nowell Ave, 119 Seward St, Suite 17, Juneau, AK 99801-1943 | 2007-03-15 |
| 1982757589 | Anya Jean Maier | Family Medicine | 1801 Salmon Creek Lane, Juneau, AK 99801 | 2007-01-19 |
| 1659475143 | Mignon F Benjamin | Family Medicine | 641 West Willoughby Ave, Suite 201, Juneau, AK 99801-7809 | 2006-09-12 |
| 1164451159 | Sharon Elizabeth Fisher | Family Medicine | 3220 Hospital Dr., 100, Juneau, AK 99801-7808 | 2006-07-02 |
| 1336193739 | Janice D Heaton-sheufelt | Family Medicine | 3100 Channel Dr Ste 300, Juneau, AK 99801-7837 | 2006-05-20 |
| 1275591018 | Family Practice Physicians Inc | Family Medicine | 10301 Glacier Hwy, Juneau, AK 99801-8561 | 2006-05-02 |
| 1902893860 | Elisabeth M Britton | Family Medicine | 420 W North St, Juneau, WI 53039-1165 | 2005-10-05 |
| 1730610221 | Kyleen Luhrs | Family Medicine | 1200 Salmon Creek Lane, Juneau, AK 99801 | 2017-03-25 |
| 1831410521 | Beaver Dam Community Hospitals, Inc. | Family Medicine | 420 W North St, Juneau, WI 53039 | 2010-06-16 |
| Find all providers in JUNEAU | ||||
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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.