MIN CHEOL KIM (NPI# 1295833192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295833192 |
| Entity Type | Individual |
| Full Name | MIN CHEOL KIM |
| Credential | MD |
| Practice Address |
14155 North 83rd Avenue Suite 1103 Peoria AZ 85381 |
| Mailing Address |
Po Box 11977 Glendale AZ 85318-1977 |
| Practice Telephone | 4804956492 |
| Mailing Telephone | 4804956492 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 36025 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528449873 | Min Soo Kim | Dentist | 2701 N Dirksen Pkwy, Springfield, IL 62702-1407 | 2015-06-12 |
| 1437490505 | Min Kim | Student in an Organized Health Care Education/Training Program | 1813 Spruce St, Apt 2f, Philadelphia, PA 19103-5806 | 2013-03-14 |
| 1376894436 | Min Kim | Pharmacist | 5005n Piedras St, 4008, El Paso, TX 79912 | 2012-09-28 |
| 1497028674 | Min Jung Kim | Chiropractor | 907 Aylesbury Dr, Allen, TX 75002-5745 | 2012-02-17 |
| 1629380936 | Min S Kim | Dentist | 7250 S Durango Dr Ste 110, Las Vegas, NV 89113-2221 | 2010-07-02 |
| 1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1750566857 | Min Jeong Kim | Optometrist | 733 Manhattan Ave, Brooklyn, NY 11222-2944 | 2008-01-08 |
| 1912107194 | Min C. Kim | Dentist | 4270 Gorgas Circle, Fort Sam Houston, TX 78234-2639 | 2007-07-25 |
| 1861609240 | Min Kyung Kim | Acupuncturist | 1418 S Euclid St, Fullerton, CA 92832-3135 | 2007-05-17 |
| 1003914771 | Min Kyung Kim | Physical Medicine & Rehabilitation | 1200 S. York, #3160, Elmhurst, IL 60126 | 2006-09-20 |
| Street Address |
14155 NORTH 83RD AVENUE SUITE 1103 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982899258 | Parminderpal Singh | Ophthalmology | 9151 W Thunderbird Rd Ste G101, Peoria, AZ 85381-4906 | 2007-09-10 |
| 1629294285 | Peoria Area Vision Care, LLC | Ophthalmology | 8921 North Wood Sage Rd, Peoria, IL 61615-7822 | 2007-04-18 |
| 1215016662 | Michael Samuel Grossman | Ophthalmology | 4505 N Rockwood Dr, Peoria, IL 61615-3803 | 2006-11-06 |
| 1689769143 | Southwest Eye Surgeons, Ltd | Ophthalmology | 9151 W Thunderbird Rd # G101, Peoria, AZ 85381-4906 | 2006-10-03 |
| 1679593123 | Wyman Sicher Eye Associates Sc | Ophthalmology | 8921 N. Wood Sage Rd, Peoria, IL 61615 | 2006-07-20 |
| 1992737084 | Chittaranjan Venkat Reddy | Ophthalmology | 3310 W Chartwell Rd, Suite 101, Peoria, IL 61614 | 2006-07-07 |
| 1689601940 | Retina Consultants of Central Illinois, Sc | Ophthalmology | 3310 West Chartwell Road, Suite 101, Peoria, IL 61614 | 2006-06-26 |
| 1215995949 | Plaza Del Rio Eye Clinic, PC | Ophthalmology | 13340 N 94th Dr, Peoria, AZ 85381-4236 | 2006-05-02 |
| 1558349001 | Martha Joanne Willi | Ophthalmology | 1216 N Maplewood Ave, Peoria, IL 61606-1038 | 2006-01-05 |
| 1366424756 | Peoria Eye Clinic, Ltd | Ophthalmology | 2422 W Nebraska Ave, Peoria, IL 61604-3112 | 2005-11-19 |
| Find all providers in PEORIA | ||||
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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.