KIM ENT, P.C. (NPI# 1336386598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336386598 |
| Entity Type | Organization |
| Organization Name | KIM ENT, P.C. |
| Other Organization Name | KIM ENT & FACIAL PLASTICS |
| Practice Address |
3042 Oakcliff Rd Suite 200 Doraville GA 30340-2699 |
| Practice Telephone | 7704584255 |
| Practice Fax Number | 7704584406 |
| Mailing Telephone | 7704584255 |
| Mailing Fax Number | 7704584406 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |
| Authorized Official Name | DR. KUN Z KIM (OWNER) |
| Authorized Official Telephone | 7704584255 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 039608 | GA | Hospitals |
| Other Name | Type Code |
|---|---|
| Kim ENT & Facial Plastics | Doing Business As Name - Organization |
| Street Address |
3042 OAKCLIFF RD SUITE 200 |
| City | DORAVILLE |
| State | GA |
| Zip Code | 30340-2699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469591 | Kun Zoo Kim | Otolaryngology | 3042 Oakcliff Rd, Suite 200, Doraville, GA 30340-2699 | 2005-07-06 |
| 1972725943 | Siavash Parvardegari | Chiropractor | 3042 Oakcliff Rd, Suite 210, Doraville, GA 30340 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003300757 | Moensania Carisa Phillips | Nurse Practitioner | 4004 Evans Road, Atlanta, GA 30340 | 2018-06-17 |
| 1326545534 | Teri Lynn Hill | Case Manager/Care Coordinator | 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 | 2018-04-12 |
| 1174043541 | Woohyeon Cho | Acupuncturist | 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 | 2017-06-26 |
| 1326599614 | Tara Vanvranken | Chiropractor | 3166 Chestnut Dr Ste 100&200, Atlanta, GA 30340 | 2016-10-20 |
| 1073900056 | Presly Ouy | Pharmacist | 3975 English Oak Dr, Atlanta, GA 30340 | 2015-04-17 |
| 1336389063 | Jose R Muniz | Licensed Practical Nurse | 3061 Oakcliff Rd, 149, Doraville, GA 30340 | 2009-02-20 |
| 1316109200 | John David Hamilton | Radiology | 4000 Dekalb Technology Pkwy Suite 200, Kaiser Permanente Dekalb Technology Center, Atlanta, GA 30340 | 2008-07-01 |
| 1104003979 | Mariya A. Fishman | Radiology | 4000 Dekalb Technology Parkway, Ste. 400 Kaiser Permanente-dekalb Technology Center, Atlanta, GA 30340 | 2008-01-23 |
| 1346441029 | Lana Marie Chase | Clinical Nurse Specialist | 3490 Bowling Green Way, Atlanta, GA 30340 | 2007-05-30 |
| 1225242399 | Expert Pain Clinic LLC | Chiropractor | 3042 Oakciff Rd, Site210, Doraville, GA 30340 | 2007-05-09 |
| Find all providers in zip 30340 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114450749 | Alisa Oates | Special Hospital | 116 Faybrook Dr, Byron, GA 31008-9530 | 2017-04-11 |
| 1306110424 | Pulmonary Wellstar | Special Hospital | 55 Witcher St Suite 160, Marietta, GA 30060 | 2012-03-07 |
| 1144591553 | Royston Animal Hospital | Special Hospital | 2888 W Main St, Royston, GA 30662-7003 | 2012-01-17 |
| 1073826590 | Atlanta Medical Center | Special Hospital | 401 Windy Ridge Ln Se, Atlanta, GA 30339-2432 | 2010-07-26 |
| 1225035462 | The Specialty Hospital, LLC | Special Hospital | 320 Turner Mccall Blvd., Rome, GA 30165-5621 | 2005-07-01 |
| 1942660311 | Ashley Garner | Special Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2016-02-29 |
| 1477939296 | Select Specialty Hospital | Special Hospital | 5353 Reynolds St, 4 South, Savannah, GA 31405-6015 | 2015-08-04 |
| 1144608316 | Department of Veterans Affairs | Special Hospital | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2015-05-08 |
| 1568849008 | Columbus Specialty Hospital | Special Hospital | 616 19th St, Columbus, GA 31901-1528 | 2015-05-05 |
| 1235553512 | Dva Atlanta | Special Hospital | 1670 Clairmont Rd, Mail Code Pod 111, Decatur, GA 30033-4004 | 2014-02-07 |
| 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.