BYUNGKI KIM


Address: 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622
Phone: 7036988960

BYUNGKI KIM (NPI# 1255307906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255307906
Entity Type Individual
Full Name BYUNGKI KIM
Credential MD
Practice Address 3028 Javier Rd Ste 500
Fairfax
VA 22031-4622
Mailing Address 3700 Joseph Siewick Dr
Suite 308
Fairfax
VA 22033
Practice Telephone 7036988960
Practice Fax Number 5714945794
Mailing Telephone 7036988960
Mailing Fax Number 7037168703
Enumeration Date 2006-02-23
Last Update Date 2019-05-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
0101227056 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM BCBS 317111 01
VA CAREFIRST BCBS 79160013 01
VA ANTHEM BCBS 178735 01
VA ANTHEM BCBS 187450 01
VA 5844541 05
VA RAILROAD MEDICARE 100014968 01
VA ANTHEM BCBS 187601 01
VA ANTHEM BCBS 317110 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033 7037168700 7037168703
3914 Centreville Rd Ste 350, Chantilly, VA 201513289 7037168700

Office Location

Street Address 3028 JAVIER RD STE 500
City FAIRFAX
State VA
Zip Code 22031-4622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356337158 Behzad Kalaghchi Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 2005-09-27
1639573223 Stephanie Byers Physician Assistant 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 2014-10-10
1770852386 Hanna L Kim Physician Assistant 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 2011-12-28
1881911667 Iris Lee Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 2010-05-03
1770742595 Bezawit Tekola Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031 2008-06-06
1699793372 Ahmed Hegab Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 2006-07-18
1740209147 Rupa N. Shah Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031 2006-07-18
1013949254 Nader H Balba Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 2006-07-07
1952372542 Kenneth R Mirkin Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031 2006-01-31
1861472862 Tonya Lynn Adams Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031 2006-01-18
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NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962505818 Nicholas Szary Internal Medicine 3028 Javier Rd Ste 400, Fairfax, VA 22031-4622 2006-09-06
1356337158 Behzad Kalaghchi Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 2005-09-27
1962407924 Felice L Banson Internal Medicine 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033 2005-06-16
1114220266 Maurice Atiyeh Md Internal Medicine 8501 Arlington Blvd, Ste 500, Fairfax, VA 22031-4617 2010-12-13
1568781706 Ivan Peter Harnden Internal Medicine 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 2010-05-27
1881911667 Iris Lee Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031-4622 2010-05-03
1770742595 Bezawit Tekola Internal Medicine 3028 Javier Rd Ste 500, Fairfax, VA 22031 2008-06-06
1770702011 Asma Khapra Internal Medicine 3022 Williams Dr, #301, Fairfax, VA 22031-4600 2007-04-25
1861517963 Hemorrhoid Relief Center of Virginia, Inc. Internal Medicine 3020 Hamaker Ct, Suite B110, Fairfax, VA 22031-2238 2007-03-20
1598800765 Carol S Schuffler Internal Medicine 8301 Arlington Blvd, #308, Fairfax, VA 22031 2007-02-21
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

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.

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