MYUNG MI KIM (NPI# 1235383464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235383464 |
| Entity Type | Individual |
| Full Name | MYUNG MI KIM |
| Credential | M.D. |
| Practice Address |
1025 Morehead Medical Dr Suite 300 Charlotte NC 28204-2963 |
| Mailing Address |
Po Box 601372 Charlotte NC 28260-1372 |
| Practice Telephone | 7043551813 |
| Practice Fax Number | 7043555980 |
| Mailing Telephone | 7043551813 |
| Mailing Fax Number | 7043555980 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2013-00050 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 1060118 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | STATE LICENSE | IN1060118 | 01 |
| IN | 200931090 | 05 | |
| SC | NC1815 | 05 | |
| NC | 1235383464 | 05 | |
| NC | NC LICENSE | 2013-00050 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326282757 | Myung Woon Kim | General Practice | Hwy 49 W, Msp U42, Parchman, MS 38738-0000 | 2009-04-29 |
| 1821215039 | Myung Joon Kim | Dentist | 10 Market Square, Suite 3, South Paris, ME 04281 | 2007-04-19 |
| 1386789170 | Myung Shin Kim | Dentist | 15500 La Mirada Blvd, La Mirada, CA 90638-5400 | 2007-02-20 |
| 1255407433 | Myung Sook Kim | Internal Medicine | 200 West 86th Street, Suite 1 I, New York, NY 10024-3303 | 2006-11-28 |
| 1053424051 | Myung S Kim | Surgery | 3333 Biddle St, Suite C, Wyandotte, MI 48192-6284 | 2006-08-16 |
| 1336171990 | Myung S. Kim | Internal Medicine | 22550 Savi Ranch Parkway, Yorba Linda Medical Offices, Yorba Linda, CA 92887 | 2006-07-06 |
| 1144876624 | Myung K Kim | Acupuncturist | 196 Main St, Nanuet, NY 10954-3324 | 2019-08-12 |
| 1144414384 | Myung C Kim | Acupuncturist | 347 Massachusetts Ave, Arlington, MA 02474-6718 | 2007-08-30 |
| 1770660664 | Myung David Kim | Dentist | 1335 W Tabor Rd, Suite 307, Philadelphia, PA 19141 | 2006-11-01 |
| 1912003229 | Myung Hyo Kim | Surgery | 711 Troy Schenectady Rd, Latham, NY 12110 | 2006-09-15 |
| Street Address |
1025 MOREHEAD MEDICAL DR SUITE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257332 | David Iannitti | Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2005-07-07 |
| 1336760628 | Victoria Cleveland | Physician Assistant | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2020-04-28 |
| 1093349656 | Leah Carnick Ledford | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 500 5th Floor, Charlotte, NC 28204-2963 | 2020-02-23 |
| 1700429222 | Mary Irvine | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-10-28 |
| 1780231340 | Lauren Lover | Physician Assistant | 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204-2963 | 2019-08-19 |
| 1760037634 | Lisa Johnston | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-08-07 |
| 1104470392 | Claire Lawson | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-07-26 |
| 1457904971 | Megan Cosgrove | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 | 2019-07-23 |
| 1629637061 | Lisa Dunton | Advanced Practice Midwife | 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204-2963 | 2019-06-10 |
| 1194282061 | Amy Slana | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1154806271 | The Cosmetic Concierge, Pllc | Surgery | 325 Arlington Ave Unit B, Charlotte, NC 28203-4574 | 2018-09-25 |
| 1619363538 | William Charles Sherrill IIi | Surgery | 1000 Blythe Blvd Ste 601, Charlotte, NC 28203-5812 | 2015-04-07 |
| 1174968069 | Jonathan Bouchez | Surgery | 1000 Blythe Bvld., Charlotte, NC 28203 | 2013-05-06 |
| 1437475779 | Blair A Wormer | Surgery | 1901 Brunswick Ave Ste 200, Charlotte, NC 28207-1897 | 2010-04-12 |
| 1407039845 | Charles Arthur Hill IIi | Surgery | 325 Hawthorne Ln Ste 100, Charlotte, NC 28204 | 2007-12-07 |
| 1841491370 | Johnnie Lyles | Surgery | 2908 Oak Lake Blvd, Suite 205, Charlotte, NC 28208-7703 | 2007-05-31 |
| 1619000486 | Gordon W Jacobs | Surgery | 14920 Wyndham Oaks Dr, Charlotte, NC 28277-1512 | 2007-03-13 |
| 1750421228 | Sandra Giller | Surgery | 1918 Randolph Rd Ste 130, Charlotte, NC 28207-1107 | 2007-02-07 |
| 1831255009 | Wendell Aubrey Goins | Surgery | 9336 Blakeney Centre Dr, Ste 100b, Charlotte, NC 28277-6666 | 2006-12-29 |
| Find all providers in CHARLOTTE | ||||
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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.