DR. ALICE YANG-HEE KIM


Address: 111 Brewster Street, Pawtucket, RI 02860-4400
Phone: 4017292262

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
RI MEDICARE PTAN 002028701 01
NC 02376341 05
MA 110088547A 05
RI AK83696 05

Other Providers ALICE KIM

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

Office Location

Street Address 111 BREWSTER STREET
City PAWTUCKET
State RI
Zip Code 02860-4400

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City PAWTUCKET
Zip Code 02860

Improve Information

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Dataset Information

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.

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