DR. SOON GUM KIM (NPI# 1346200508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346200508 |
| Entity Type | Individual |
| Full Name | DR. SOON GUM KIM |
| Credential | M.D. |
| Practice Address |
1705 E 19th St Suite 302 Tulsa OK 74104-5405 |
| Practice Telephone | 9187487585 |
| Practice Fax Number | 9187487539 |
| Mailing Telephone | 9187487585 |
| Mailing Fax Number | 9187487539 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
24651 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200076720 A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841315231 | Soon Kuyn Kim | Psychiatry & Neurology | 29433 Southfield Rd, Suite 201, Southfield, MI 48076-2031 | 2007-03-21 |
| 1023095643 | Soon Ja Kim | Family Medicine | 5808 Main St, Elkridge, MD 21075-5105 | 2005-12-23 |
| 1710121074 | Soon Young Kim | Physical Therapist | 1311 55th St, Brooklyn, NY 11219-4202 | 2009-04-29 |
| 1689813149 | Soon Ae Kim | Chiropractor | 2950 Horizon Park Drive, Suite D, Suwanee, GA 30024 | 2009-02-06 |
| 1649381153 | Soon Kim | Surgery | 1516 Virginia Ranch Rd, Gardnerville, NV 89410-5794 | 2006-08-31 |
| 1396735551 | Soon H Kim | Anesthesiology | 12303 Depaul Drive, Bridgeton, MO 63044 | 2005-10-27 |
| Street Address |
1705 E 19TH ST SUITE 302 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518955483 | Brett J Bennett | Physician Assistant | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5405 | 2005-10-13 |
| 1831687961 | Judith Rae Muskrat | Nurse Practitioner | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5410 | 2018-04-24 |
| 1215471263 | Tiffany Schaudt | Nurse Practitioner | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5405 | 2016-12-09 |
| 1194184226 | Meghan Elise Saliba | Physician Assistant | 1705 E 19th St, 302, Tulsa, OK 74104-5405 | 2016-02-17 |
| 1558727164 | Mindi Henry | Nurse Practitioner | 1705 E 19th St, Holliman Medical Building Suite 302, Tulsa, OK 74104-5405 | 2016-01-12 |
| 1598139875 | Jaymie Wilson | Nurse Practitioner | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5405 | 2015-11-24 |
| 1982076642 | Valerie Hazlip | Nurse Practitioner | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5405 | 2015-10-21 |
| 1598152191 | Grisel Yuliana Quiroz | Family Medicine | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5410 | 2015-04-21 |
| 1417341181 | Sarah Mccullough Washatka | Hospitalist | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5410 | 2015-03-20 |
| 1932591989 | Kayla Day Warner | Registered Nurse | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5405 | 2015-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669662672 | Infectious Disease and Pain Management of Tulsa | Internal Medicine | 1502 S Boulder Ave, Suite 206, Tulsa, OK 74119-4037 | 2007-07-26 |
| 1265558779 | Mark Steven Dawson | Internal Medicine | 6120 S Yale Ave, Suite 1225, Tulsa, OK 74136-4234 | 2007-03-22 |
| 1376517813 | Stanley N Schwartz | Internal Medicine | 5723 E 79th St, Tulsa, OK 74136-8432 | 2006-02-13 |
| 1033194451 | Mark Dillier Rowland | Internal Medicine | 6565 S Yale Ave Ste 912, Tulsa, OK 74136 | 2005-12-08 |
| 1144636614 | Gabriela Corsi Vasquez | Internal Medicine | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4041 | 2014-07-06 |
| 1972918001 | Stephan Hambaz | Internal Medicine | 1145 S Utica Ave Ste 460, Tulsa, OK 74104-4041 | 2014-06-27 |
| 1699101402 | Sristi Bhattarai | Internal Medicine | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4000 | 2013-09-25 |
| 1578792560 | Integrations Center Inc | Internal Medicine | 6048 S Sheridan Rd, Tulsa, OK 74145-9212 | 2009-07-10 |
| 1760625032 | Edemekong Bassey | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2009-04-15 |
| 1912167867 | Kelley M Struble | Internal Medicine | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104-5635 | 2008-06-13 |
| Find all providers in TULSA | ||||
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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.