DR. ALICE YANG-HEE KIM (NPI# 1407854797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407854797 |
Entity Type | Individual |
Full Name | DR. ALICE YANG-HEE KIM |
Credential | M.D. |
Practice Address |
111 Brewster Street Pawtucket RI 02860-4400 |
Mailing Address |
111 Brewster Street Wood Bldg #516 Pawtucket RI 02860-4400 |
Practice Telephone | 4017292262 |
Practice Fax Number | 4017293050 |
Mailing Telephone | 4017293481 |
Mailing Fax Number | 4017292721 |
Enumeration Date | 2005-07-11 |
Last Update Date | 2015-03-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD13512 | RI | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
227785 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | MEDICARE PTAN | 002028701 | 01 |
NC | 02376341 | 05 | |
MA | 110088547A | 05 | |
RI | AK83696 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235507641 | Alice Eun Kim | Acupuncturist | 2707 Maryannes Ct, North Wales, PA 19454-2021 | 2015-09-02 |
1679736854 | Alice May Kim | Emergency Medicine | 221 E Cullerton St, Apt 1021, Chicago, IL 60616-1386 | 2008-07-08 |
1972643369 | Alice H Kim | Marriage & Family Therapist | 405 W 5th St Ste 425, Santa Ana, CA 92701-4599 | 2007-02-07 |
1821008137 | Alice Kim | Social Worker | 453 Carlisle Dr, Suite 104, Herndon, VA 20170-5611 | 2006-08-09 |
1265039804 | Alice Kim | Counselor | 6095 Pine Mountain Rd Nw Ste 105, Kennesaw, GA 30152-3332 | 2020-10-06 |
1730616145 | Alice Jen Kim | Podiatrist | 3095 Old Conejo Rd Ste 100, Thousand Oaks, CA 91320-2130 | 2017-05-16 |
1104352095 | Alice Yeonkyung Kim | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2017-05-11 |
1740711357 | Alice Yon Kim | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2017-03-24 |
1437519683 | Alice Kim | Pharmacist | 1199 Amboy Ave, Edison, NJ 08837-2552 | 2016-03-01 |
1497144620 | Alice Kim | Nurse Practitioner | 190 W Germantown Pike, Suite 110, East Norriton, PA 19401-1385 | 2015-01-12 |
Street Address |
111 BREWSTER STREET |
City | PAWTUCKET |
State | RI |
Zip Code | 02860-4400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063939007 | Abraham Walusimbi | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-08-29 |
1265952576 | Ali Alkhayat | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2017-06-27 |
1740700780 | Melissa Ochoa-trochez | Family Medicine | 111 Brewster Street, Fcc B, Pawtucket, RI 02860 | 2017-06-21 |
1063883270 | Jennifer Derossi-dacosta | Registered Nurse | 111 Brewster Street, Cnemg Primary Care and Specialty Services, Pawtucket, RI 02860-4474 | 2015-10-14 |
1528368354 | Bethany S Snow | Physician Assistant | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2010-10-27 |
1720260805 | Laura Lynnette Frakey | Clinical Neuropsychologist | 111 Brewster Street, Pawtucket, RI 02860-4400 | 2007-11-30 |
1740483742 | Linda Coren Hanley | Pathology | 111 Brewster Street, Department of Pathology, Pawtucket, RI 02860-4400 | 2007-06-07 |
1518176874 | Memorial Hospital | Family Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2007-05-22 |
1396954640 | Memorial Hospital | Family Medicine | 111 Brewster Street, Memorial Hospital of Rhode Island, Pawtucket, RI 02860 | 2007-05-22 |
1679798292 | Eric Gartman | Internal Medicine | 111 Brewster Street, Pawtucket, RI 02860 | 2007-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
Find all providers in zip 02860 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1205942646 | David J Fortunato | Internal Medicine | 75 S Union St, Unit 406, Pawtucket, RI 02860-3978 | 2006-08-21 |
1194912527 | Blackstone Cardiology Associates, PC | Internal Medicine | 333 School St, Suite 112, Pawtucket, RI 02860-5334 | 2007-10-01 |
1902026701 | Memorial Hospital | Internal Medicine | 111 Brewster St, Pawtucket, RI 02860-4400 | 2007-04-26 |
1841318367 | Lgln Cardiology Consultants,llc | Internal Medicine | 407 East Avenue, Suite 130, Pawtucket, RI 02860 | 2007-03-26 |
1891834958 | Christopher J Luttmann | Internal Medicine | 407 East Ave, Suite 130, Pawtucket, RI 02860-5290 | 2007-02-05 |
1134268287 | Andrew A Nowak | Internal Medicine | 407 East Ave, Suite 130, Pawtucket, RI 02860-5290 | 2007-02-05 |
1902945058 | Jon K Lambrecht | Internal Medicine | 407 East Ave, Suite 130, Pawtucket, RI 02860-5290 | 2007-02-05 |
1558416040 | Suhdong Hahn | Internal Medicine | 333 School St, Suite 107, Pawtucket, RI 02860-5334 | 2007-01-24 |
1124101340 | Blackstone Cardiology Associates | Internal Medicine | 333 School Street, Ste 112, Pawtucket, RI 02860-5336 | 2006-10-23 |
1164538070 | Ned Henry Gutman | Internal Medicine | 407 East Ave, Suite 120, Pawtucket, RI 02860-5290 | 2006-08-22 |
Find all providers in PAWTUCKET |
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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.