DR. DAVID K KIM (NPI# 1295835270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295835270 |
| Entity Type | Individual |
| Full Name | DR. DAVID K KIM |
| Credential | MD |
| Practice Address |
3101 Sw Sam Jackson Park Rd Portland OR 97239-3009 |
| Mailing Address |
Po Box 8500, Lockbox 7642 Shriners Hospital for Children Portland Philadelphia PA 19178-7642 |
| Practice Telephone | 5032213424 |
| Practice Fax Number | 5032213490 |
| Mailing Telephone | 8132818115 |
| Mailing Fax Number | 8132818656 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
MD178551 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1578106852 | David H Kim | Dentist | 2058 Kings Cross Ln, Cordova, TN 38016-5176 | 2019-10-19 |
| 1194378877 | David S Kim | Dentist | 121 Tatham Rd, Bensalem, PA 19020-1641 | 2019-07-22 |
| 1790341691 | David Kim | Physician Assistant | 993f Johnson Ferry Rd Ste 210, Atlanta, GA 30342-1602 | 2019-05-15 |
| 1316407539 | David Kim | Behavior Technician | 6056 Delaware Park Ct, Eastvale, CA 92880-0984 | 2019-03-22 |
| 1104398593 | David Solomon Kim | Acupuncturist | 3520 147th St Ph 1f, Flushing, NY 11354-3773 | 2018-12-22 |
| 1942738935 | David Kim | Social Worker | 45 Douglass St # 3, Brooklyn, NY 11231-4716 | 2017-06-02 |
| 1841673936 | David Hoyeon Kim | Dentist | 1234 Devonshire Ln, La Habra, CA 90631-7421 | 2015-07-07 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1114318383 | David Tae Hun Kim | Dentist | 736 Tangelo Way, Fullerton, CA 92832-2630 | 2015-02-10 |
| Street Address |
3101 SW SAM JACKSON PARK RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710968375 | Brookley Valentine Holter | Physician Assistant | 3101 Sw Sam Jackson Park Rd, Shriner's Hospital for Children, Portland, OR 97239 | 2005-11-10 |
| 1932743127 | Sarah Virginia Lowe | Dietitian, Registered | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 | 2019-10-31 |
| 1548802960 | Richard Hannan | Student in an Organized Health Care Education/Training Program | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2019-10-17 |
| 1558902262 | Janan Chandrananth | Student in an Organized Health Care Education/Training Program | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2019-10-03 |
| 1245893007 | Elizabeth Ann Mandel | Nurse Practitioner | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 | 2019-04-17 |
| 1104396589 | Rebecca-kelly Grant Clark | Occupational Therapist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 | 2018-11-28 |
| 1336629294 | Joel Hamilton Cowley | Physical Therapist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2018-08-20 |
| 1104314350 | Shriners Hospitals for Children | Anesthesiology | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2018-04-24 |
| 1356863765 | Stephen Arran Butler | Student in an Organized Health Care Education/Training Program | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2017-07-07 |
| 1023547015 | Lucas Enen Annabell | Student in an Organized Health Care Education/Training Program | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487916730 | Philip W Yun | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Uh2, Portland, OR 97239-3011 | 2012-06-12 |
| 1275976755 | Erin Conner | Anesthesiology | 700 Sw Campus Dr, Portland, OR 97239-3107 | 2013-04-15 |
| 1821314337 | Amy Opilla Soleta | Anesthesiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2010-04-09 |
| 1497999767 | Christine Stanley Martin | Anesthesiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2009-04-29 |
| 1265690705 | Michelle Wai Diu | Anesthesiology | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2008-05-31 |
| 1366650814 | Elizabeth Burton Pedigo | Anesthesiology | 1030 Nw 12th Ave, 535, Portland, OR 97209-2837 | 2007-05-18 |
| 1033290838 | William Matthew Klein | Anesthesiology | 3101 Sw Sam Jackson Park Road, Portland, OR 97239-3009 | 2006-10-18 |
| 1366523425 | Matthew A. Green | Anesthesiology | 22 Bramhall St, Portland, ME 04102 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013133495 | Harvey A Abrams | Anesthesiology | 57655 Tan Oak Lane, Sunriver, OR 97707 | 2007-04-17 |
| 1427435429 | Nam Ward | Anesthesiology | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2015-04-29 |
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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.