ANDREW KIM (NPI# 1417100918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417100918 |
| Entity Type | Individual |
| Full Name | ANDREW KIM |
| Credential | D.O., PLLC |
| Practice Address |
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121-3609 |
| Practice Telephone | 7027311616 |
| Practice Fax Number | 7027344900 |
| Mailing Telephone | 7027311616 |
| Mailing Fax Number | 7027344900 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
M9411 | TX | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
11170 | CA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
DO1610 | NV | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
20A11170 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1417100918 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8205 W Warm Springs Rd Ste 250, Las Vegas, NV 891133646 | 7022272152 | 7022520369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386157816 | Andrew Taeho Kim | Physical Therapist | 2235 241st St Apt 6, Lomita, CA 90717-1062 | 2017-11-06 |
| 1033643895 | Andrew Kim | Dentist | 2001 Lincoln St, Denver, CO 80202-3802 | 2017-04-18 |
| 1477084804 | Andrew Gene Kim | Internal Medicine | 1959 Ne Pacific Street, Radiology Department Rr210, University of Washington, Seattle, WA 98195 | 2017-03-27 |
| 1578952263 | Andrew Kwanhee Kim | Pharmacist | 11520 Rockville Pike, Rockville, MD 20852-2750 | 2015-01-18 |
| 1093009110 | Andrew Kim | Internal Medicine | Camp Humphreys Msg Jenkins Clinic, Unit 15190, Box#12, Apo, AP 96271 | 2011-06-06 |
| 1083911846 | Andrew Kim | Dentist | 2722 W Grand Pkwy N # 200, Katy, TX 77449 | 2011-02-14 |
| 1952553380 | Andrew Heejoon Kim | Internal Medicine | 1414 S Grand Ave Ste 303, Los Angeles, CA 90015-3071 | 2008-10-16 |
| 1942480330 | Andrew H Kim | Dentist | 1655 E Thousand Oaks Blvd, Ste 204, Thousand Oaks, CA 91362-2800 | 2007-11-14 |
| 1851500490 | Andrew Chaehwan Kim | Acupuncturist | 16 W 32nd St Ste 902, New York, NY 10001-0907 | 2007-05-21 |
| 1629280649 | Andrew H Kim | Dentist | 1122 E. Lincoln Ave. #109, Orange, CA 92865-1908 | 2007-05-03 |
| Street Address |
2800 E DESERT INN RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845649 | Russell T. Nevins | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2005-07-19 |
| 1548871551 | Riley Madison Brashear | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2020-08-13 |
| 1841838570 | Jordan Christensen | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-12 |
| 1881232635 | Christopher Cummings | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-11 |
| 1508331083 | Abby Sue Fink | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-10-10 |
| 1942788575 | Briannon Marie Yadrick | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-08-06 |
| 1326532037 | Janika Sullivan | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-06-16 |
| 1427564806 | Elizabeth Ashley Hanks | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-12-20 |
| 1629592811 | Alysse A Thummel | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-07-28 |
| 1558809079 | Candice D Cliatt | Registered Nurse | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164721627 | Peter Shao You Su | Physical Medicine & Rehabilitation | 6950 W Desert Inn Rd Ste 110, Las Vegas, NV 89117-3171 | 2011-03-23 |
| 1023219508 | Integrated Pain Relief, LLC | Physical Medicine & Rehabilitation | 4161 S Eastern Ave Ste A9, Las Vegas, NV 89119-5425 | 2007-05-30 |
| 1578508065 | Mountain Rehabilitation Services Poindexter & Associates Ltd | Physical Medicine & Rehabilitation | 2641 Box Canyon Dr, Suite B, Las Vegas, NV 89128-0419 | 2006-06-18 |
| 1477504157 | Steven A Holper | Physical Medicine & Rehabilitation | 3233 W Charleston Blvd Ste 202, Las Vegas, NV 89102-1999 | 2006-05-15 |
| 1558369181 | Minh H Nguyen | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2005-07-08 |
| 1346868387 | Telehealth Clinical Evals, LLC | Physical Medicine & Rehabilitation | 9505 Hillwood Dr, Las Vegas, NV 89134-0506 | 2020-07-07 |
| 1952829764 | Physical Medicine and Pain Management of Nevada, LLC | Physical Medicine & Rehabilitation | 2004 Glenview Dr, Las Vegas, NV 89134 | 2017-08-31 |
| 1124462056 | Grant Miki Karno | Physical Medicine & Rehabilitation | 1569 E Flamingo Rd, Las Vegas, NV 89119-5321 | 2013-04-22 |
| 1356467831 | Katherine Travnicek | Physical Medicine & Rehabilitation | 7435 W Azure Dr, Ste 190, Las Vegas, NV 89130-4427 | 2007-03-22 |
| 1639231954 | Restorative Medicine LLC | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2006-12-14 |
| Find all providers in LAS VEGAS | ||||
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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.