JEFFREY L KIM (NPI# 1275506560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275506560 |
| Entity Type | Individual |
| Full Name | JEFFREY L KIM |
| Credential | MD |
| Practice Address |
118 Mill St Ste 110 Woodstock GA 30188 |
| Mailing Address |
711 Canton Rd Ne Ste 300 Marietta GA 30060-8949 |
| Practice Telephone | 6787415000 |
| Practice Fax Number | 7705175004 |
| Mailing Telephone | 6787415000 |
| Mailing Fax Number | 6788194280 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 056117 | GA | Other Service Providers |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
056117 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 247569424B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265905186 | Jeffrey Jin-hyung Kim | Dentist | 100 Bureau Dr Stop 8546, Gaithersburg, MD 20899-8546 | 2019-01-03 |
| 1851550248 | Jeffrey J Kim | Dentist | 784 North D Street, San Bernardino, CA 92401 | 2008-06-02 |
| 1033272927 | Jeffrey D Kim | Dentist | 4902 Irvine Center Drive, Suite #200, Irvine, CA 92604 | 2006-12-19 |
| 1598732927 | Jeffrey J Kim | Dentist | 400 Midway Park Drive, Middletown, NY 10940 | 2006-03-03 |
| 1164904173 | Jeffrey Kim | Respiratory Therapist, Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2018-09-05 |
| 1083190748 | Jeffrey Kim | Dentist | 4200 Chino Hills Pkwy Ste 880, Chino Hills, CA 91709-5831 | 2018-07-16 |
| 1356848758 | Jeffrey Chung Hee Kim | Pharmacist | 3458 Neely Rd, Joint Base Mdl, NJ 08641-5312 | 2018-04-11 |
| 1487185740 | Jeffrey Kyung Kim | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Department of Anesthesiology, Los Angeles, CA 90095-7419 | 2017-03-27 |
| 1710350392 | Jeffrey Kim | Physical Therapist | 1200 Lexington Green Ln, Sanford, FL 32771-1013 | 2015-11-04 |
| 1366820409 | Jeffrey Young Kim | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw, Washington, DC 20007 | 2015-05-08 |
| Street Address |
118 MILL ST STE 110 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477762888 | Sohail Asfandiyar | Internal Medicine | 118 Mill St Ste 110, Woodstock, GA 30188-4880 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| 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 |
|---|---|---|---|---|
| 1447206164 | Jon Vincent Trankina | Internal Medicine | 4595 Towne Lake Pkwy, Bld300, Suite 200, Woodstock, GA 30189-5514 | 2006-05-25 |
| 1477762888 | Sohail Asfandiyar | Internal Medicine | 118 Mill St Ste 110, Woodstock, GA 30188-4880 | 2007-05-22 |
| 1649288457 | Yasmin Hussain | Internal Medicine | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741448 | Gastro Consultants of Atlanta PC | Internal Medicine | 5669 Peachtree Dunwoody Rd Ste 270, Atlanta, GA 30342-1786 | 2019-07-02 |
| 1023582798 | Digestive Care Consultants, LLC | Internal Medicine | 11315 Johns Creek Pkwy Ste 400, Johns Creek, GA 30097-1517 | 2019-01-16 |
| 1285122465 | Atlanta Premier Gi Endoscopy, LLC | Internal Medicine | 3400 Mcclure Bridge Rd Ste B201, Duluth, GA 30096-8705 | 2018-04-24 |
| 1346762838 | Precision Medical Center PC | Internal Medicine | 4646 N Shallowford Rd Ste 555, Atlanta, GA 30338-6308 | 2017-07-17 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1922407162 | Umg Gastroenterology LLC | Internal Medicine | 820 Saint Sebastian Way Ste 2f, Augusta, GA 30901-2636 | 2014-08-13 |
| 1841618881 | Leah G Katta | Internal Medicine | 3400 Old Milton Pkwy Ste 380, Alpharetta, GA 30005-3707 | 2014-04-05 |
| 1306276324 | Candler Gastroenterology | Internal Medicine | 380b Cedar St, Metter, GA 30439-4042 | 2013-11-13 |
| 1215377247 | Deepanshu Jain | Internal Medicine | 8855 Hospital Dr Ste 101, Douglasville, GA 30134-2256 | 2013-07-05 |
| 1114260833 | Shahzad Ahmed | Internal Medicine | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2013-04-01 |
| Find all providers with the same taxonomy | ||||
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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.