FADALIA D KIM (NPI# 1285860643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285860643 |
| Entity Type | Individual |
| Full Name | FADALIA D KIM |
| Credential | MD |
| Practice Address |
2782 Washington Dr Ste 100 Norman OK 73069-1013 |
| Mailing Address |
1016 Meadowlake Dr Noble OK 73068-8300 |
| Practice Telephone | 4054001152 |
| Practice Fax Number | 4052174383 |
| Mailing Telephone | 4052715251 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
27133 | OK | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
27133 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200287330B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13101 Memorial Springs Ct, Oklahoma City, OK 731142226 | 4054383000 | |
| 900 E Main St, Norman, OK 730715305 | 4055736602 | |
| 920 Sl Young Blvd, Wp 3440, Oklahoma City, OK 731045033 | 4052715251 |
| Street Address |
2782 WASHINGTON DR STE 100 |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330666 | Whitney Nall Md, LLC | Psychiatry & Neurology | 2782 Washington Dr Ste 100, Norman, OK 73069-1013 | 2020-03-03 |
| 1871057125 | Willow Youth Mental Health | Psychiatry & Neurology | 2782 Washington Dr Ste 100, Norman, OK 73069-1013 | 2019-01-30 |
| 1790125839 | Whitney Nall | Psychiatry & Neurology | 2782 Washington Dr Ste 100, Norman, OK 73069-1013 | 2013-07-03 |
| 1205157104 | Laura B Smith | Psychiatry & Neurology | 2782 Washington Dr Ste 100, Norman, OK 73069-1013 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285775759 | Sridevi Nagumalli | Psychiatry & Neurology | 705 Scottsbluff, Norman, OK 73072-4835 | 2007-02-09 |
| 1992330666 | Whitney Nall Md, LLC | Psychiatry & Neurology | 2782 Washington Dr Ste 100, Norman, OK 73069-1013 | 2020-03-03 |
| 1871057125 | Willow Youth Mental Health | Psychiatry & Neurology | 2782 Washington Dr Ste 100, Norman, OK 73069-1013 | 2019-01-30 |
| 1205157104 | Laura B Smith | Psychiatry & Neurology | 2782 Washington Dr Ste 100, Norman, OK 73069-1013 | 2010-06-15 |
| 1932144797 | Gregory E Shadid Md Pllc | Psychiatry & Neurology | 3280 Marshall Ave, Norman, OK 73072-8028 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528512183 | Olive Branch Psychiatry | Psychiatry & Neurology | 1900 E 15th St Ste C, Edmond, OK 73013 | 2016-08-11 |
| 1316176340 | Andrew Hyun Liew | Psychiatry & Neurology | 4444 E 41st St Fl 3, Tulsa, OK 74135-2527 | 2009-07-13 |
| 1851475198 | Sylvia J Turner | Psychiatry & Neurology | Dept. of The Army; Usameddac, Attn: Mcua-cmh: Dr.sylvia Turner, Fort Sill, OK 73505-6300 | 2006-10-24 |
| 1508963406 | Craig Steven Tutton | Psychiatry & Neurology | 1212 Merrick Drive, Ardmore, OK 73401 | 2006-09-20 |
| 1609980937 | Craig S Tutton Md, Inc PC | Psychiatry & Neurology | 1212 Merrick Dr, Ardmore, OK 73401-1824 | 2006-08-17 |
| 1285640102 | Chariny Michelle Herring | Psychiatry & Neurology | 2530 E 71st St Ste B, Tulsa, OK 74136-5577 | 2006-07-31 |
| 1235166364 | Michelle Marie Holloway | Psychiatry & Neurology | 2129 Sw 59th Street, Oklahoma City, OK 73159-7024 | 2006-06-26 |
| 1366427478 | Robyn Cowperthwaite | Psychiatry & Neurology | 4200 W Memorial Rd Ste 503, Oklahoma City, OK 73120-8305 | 2005-12-12 |
| 1225022924 | Linda K Ramer | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2005-09-08 |
| 1033103304 | Ethan D Lindsey | Psychiatry & Neurology | 1117 Nw 50th St, Oklahoma City, OK 73118-4401 | 2005-09-01 |
| 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.