DR. MICHAEL K. KIM (NPI# 1285836189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285836189 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL K. KIM |
| Credential | M.D. |
| Practice Address |
60 Prosperity Ln Stafford VA 22556-4605 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 7573039475 |
| Mailing Telephone | 8049685700 |
| Mailing Fax Number | 8042177991 |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2018-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101229869 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627742 | Michael Kim | Acupuncturist | 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 | 2015-05-05 |
| 1174945273 | Michael Jong-gyu Kim | Dentist | 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 | 2014-01-09 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1336476373 | Michael Hwangsuk Kim | Dentist | 12865 Main St, #201, Garden Grove, CA 92840-8205 | 2009-11-12 |
| 1861658486 | Michael Kim | Anesthesiology | 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 | 2008-08-03 |
| 1609076512 | Michael K Kim | Chiropractor | 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2007-07-19 |
| 1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
| 1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
| 1093870198 | Michael S. Kim | Dentist | 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 | 2006-12-27 |
| 1295810554 | Michael Ethan Kim | Dentist | 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 | 2006-10-26 |
| Street Address |
60 PROSPERITY LN |
| City | STAFFORD |
| State | VA |
| Zip Code | 22556-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354900 | Andrea Rhea Lough | Family Medicine | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2005-11-21 |
| 1780124362 | Lataya Toqwue Whitaker | Nurse Practitioner | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2017-03-02 |
| 1801278668 | Laura Elizabeth Erwin | Physician Assistant | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2015-06-29 |
| 1194137158 | Curtis Read | Family Medicine | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2014-05-27 |
| 1902193980 | Kelvin D Kemp | Family Medicine | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2011-06-29 |
| 1730412651 | Thu Ha Pham | Physician Assistant | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2009-09-10 |
| 1235322827 | Shannon Daye Farag | Family Medicine | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2007-08-27 |
| 1265597538 | Latisha Olivia Bristol | Physician Assistant | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2006-12-26 |
| 1699847111 | Sarah Marie Mest | Physician Assistant | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2006-11-14 |
| 1679556781 | Erika Boka | Physician Assistant | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2005-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686995 | In Place Health Providers LLC | Home Health | 40 Winning Colors Rd, Stafford, VA 22556 | 2020-07-11 |
| 1285284653 | Mesanhe Dolsenhe | Physician Assistant | 24008 Belleau Ave, Fpo, AA 22556 | 2019-09-17 |
| 1336661271 | Cala Booth | Licensed Practical Nurse | 48 Boundary Dr, Stafford, VA 22556 | 2017-07-12 |
| 1790130235 | Travis Cole | Contractor | 80 Cherry Hill Drive, Stafford, VA 22556 | 2016-05-03 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
| 1952323131 | Kevin Lee Dixon | Optometrist | 120 Soaring Eagle Dr, Stafford, VA 22556 | 2006-07-24 |
| 1457381766 | Pediatric Partners of Stafford PC | Pediatrics | 110 Soaring Eagle Drive, Stafford, VA 22556 | 2006-07-03 |
| 1386138436 | Laura Massena-mazur Coutcher | Pharmacist | 1505 Stafford Market Pl, Stafford, VA 22556 | 2018-06-20 |
| Find all providers in zip 22556 | ||||
| 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 |
|---|---|---|---|---|
| 1265079461 | Morgan Bay Health LLC | Family Medicine | 3623 S Main St Ste 109, Stafford, TX 77477-5406 | 2019-12-06 |
| 1336538222 | Meridian Independent Physician Group LLC | Family Medicine | 7 Planters Pl, Stafford, VA 22554-8507 | 2015-01-14 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1093908469 | Enamul Hoq Kahn | Family Medicine | 237 Garrisonville Rd Ste 101, Stafford, VA 22554-1553 | 2007-08-20 |
| 1538378195 | Deepa Pai | Family Medicine | 422 Garrisonville Rd Ste 102, Stafford, VA 22554-1573 | 2007-05-21 |
| 1629004908 | Michelle M. Campbell, M.d. PC | Family Medicine | 2765 Jefferson Davis Hwy Ste 207, Stafford, VA 22554-8331 | 2006-06-25 |
| 1033175724 | Larry D Ball | Family Medicine | 602 S Buckeye, Stafford, KS 67578-2002 | 2006-04-22 |
| 1780646182 | Michelle M Campbell | Family Medicine | 2765 Jefferson Davis Hwy Ste 210, Stafford, VA 22554-8331 | 2006-04-03 |
| 1184690935 | Yolanda G Reid | Family Medicine | 2761 Jefferson Davis Hwy Ste 101, Stafford, VA 22554-8330 | 2006-02-23 |
| 1659354900 | Andrea Rhea Lough | Family Medicine | 60 Prosperity Ln, Stafford, VA 22556-4605 | 2005-11-21 |
| Find all providers in STAFFORD | ||||
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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.