DR. BENJAMIN KUM (NPI# 1366887846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366887846 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN KUM |
| Credential | D.O. |
| Practice Address |
100 Lily Lake Road Waverly PA 18471 |
| Mailing Address |
26 Wallace Dr Plainview NY 11803-2942 |
| Practice Telephone | 8004427722 |
| Mailing Telephone | 6465257681 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS018660 | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 287966 | NY | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
OS018660 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 6004868325298558501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Nicolls Road, Hsc T-19, 030, Stony Brook University Hospital, Surgery, Stony Brook, NY 11794 | 6314441791 | 6314447689 |
| Street Address |
100 LILY LAKE ROAD |
| City | WAVERLY |
| State | PA |
| Zip Code | 18471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225235971 | Thomas William Decker | Psychologist | 1318 N. Abington Rd., Waverly, PA 18471 | 2007-06-27 |
| 1073526240 | Timothy P. Braatz | Radiology | 1002 Oakford Woods, Waverly, PA 18471 | 2006-08-15 |
| 1255308094 | Northeast Medical & Oxygen | Skilled Nursing Facility | 2 Glenview Lane, Northeast Medical & Oxygen, Waverly, PA 18471 | 2006-03-01 |
| 1336113018 | John T. Belford | Physician Assistant | Lily Lake Rd, Waverly, PA 18471 | 2006-02-17 |
| 1003089046 | Barbara Brundige Decker | Counselor | 1318 N. Abington Rd., Waverly, PA 18471 | 2008-04-10 |
| 1942336391 | Marworth | Clinic/Center | Lily Lake Rd, Waverly, PA 18471 | 2007-02-27 |
| 1659444388 | Marworth | Substance Abuse Rehabilitation Facility | Lily Lake Rd, Waverly, PA 18471 | 2006-11-17 |
| 1801968060 | William Douglas Poray | Social Worker | Lily Lake Rd, Waverly, PA 18471 | 2006-11-14 |
| 1962454207 | David J. Withers | Emergency Medicine | Lily Lake Rd, Waverly, PA 18471 | 2006-05-16 |
| 1740243302 | Deborah M. Mendelsohn | Physician Assistant | Lily Lake Rd, Waverly, PA 18471 | 2006-04-06 |
| Find all providers in zip 18471 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861443004 | Timothy Craig Mcglone | Emergency Medicine | 835 W Emmitt Ave, Waverly, OH 45690-1190 | 2006-05-12 |
| 1558364240 | Todd Larry Shover | Emergency Medicine | 312 9th St Sw, Waverly, IA 50677-2929 | 2005-05-27 |
| 1871761585 | Pike County Emergency Physicians Inc | Emergency Medicine | 100 Dawn Ln, Waverly, OH 45690-9138 | 2008-02-15 |
| 1821156472 | Sean D Stiltner | Emergency Medicine | 100 Dawn Ln, Waverly, OH 45690-9138 | 2006-12-05 |
| 1174547376 | Marlynn Giles Stovall | Emergency Medicine | 451 Highway 13 S, Waverly, TN 37185-2109 | 2006-07-27 |
| 1962454207 | David J. Withers | Emergency Medicine | Lily Lake Rd, Waverly, PA 18471 | 2006-05-16 |
| 1629036496 | Alice Anne Frazier | Emergency Medicine | 100 Dawn Ln, Waverly, OH 45690-9138 | 2006-05-02 |
| 1093791212 | Jay Bernstein | Emergency Medicine | 100 Dawn Ln, Waverly, OH 45690-9138 | 2005-12-20 |
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| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1437796497 | Elizabeth Megan Heyer | Emergency Medicine | 1500 Lansdowne Aveune, Darby, PA 19023 | 2019-12-09 |
| 1437716313 | Syndikos Investments LLC | Emergency Medicine | 127 E Cunningham St Ste 102, Butler, PA 16001-5936 | 2019-05-25 |
| 1891254744 | Neil Leon Darby | Emergency Medicine | 706a S Colorado St, Philadelphia, PA 19146-1915 | 2019-03-19 |
| 1720545320 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Clover Dr, Saint Clair, PA 17970-2200 | 2019-03-01 |
| 1780149963 | St. Luke's Hospital | Emergency Medicine | 2550 Route 100 Ste 110, Macungie, PA 18062-9652 | 2019-02-01 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 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.