DR. JIN KOO KIM (NPI# 1467503920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467503920 |
| Entity Type | Individual |
| Full Name | DR. JIN KOO KIM |
| Credential | MD |
| Practice Address |
2580 Highway 95 Ste 224 Bullhead City AZ 86442-7332 |
| Mailing Address |
6622 N 91st Ave Ste 220 Glendale AZ 85305-2569 |
| Practice Telephone | 9287637722 |
| Practice Fax Number | 9287637744 |
| Mailing Telephone | 6027596883 |
| Mailing Fax Number | 6022243358 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
41404 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 395430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1790348886 | Jin Ho Kim | Acupuncturist | 18623 Highway 99 Ste 260, Lynnwood, WA 98037-4555 | 2019-04-15 |
| 1801370093 | Jin Hyun Kim | Acupuncturist | 332 Route 100 Ste 2, Somers, NY 10589-3259 | 2018-09-24 |
| 1659656874 | Jin Dea Kim | Obstetrics & Gynecology | 8370 Royal Troon Dr., Duluth, GA 30097 | 2011-10-19 |
| 1740518174 | Jin Kuen Kim | Acupuncturist | 503 N Pacific Coast Hwy, Redondo Beach, CA 90277-2104 | 2009-11-23 |
| 1629209341 | Jin Young Kim | Dentist | 5811 Pine Ave Ste B, Chino Hills, CA 91709-6541 | 2009-07-29 |
| 1649412719 | Jin Hwan Kim | Pharmacy Technician | 856 Stockbridge Dr, Hockessin, DE 19707-1431 | 2009-04-03 |
| 1306002480 | Jin Koo Kim | Dentist | 19 Demarco Rd, Sudbury, MA 01776-2019 | 2008-07-29 |
| 1588825418 | Jin Kim | Dentist | 23922 Summerhill Ln, Valencia, CA 91354 | 2008-06-23 |
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| Street Address |
2580 HIGHWAY 95 STE 224 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283423 | Peter Leopold | Internal Medicine | 2580 Highway 95 Ste 224, Bullhead City, AZ 86442-7332 | 2005-05-24 |
| 1316464159 | Akdhc Surgery Center, LLC | Internal Medicine | 2580 Highway 95 Ste 224, Bullhead City, AZ 86442-7332 | 2017-08-23 |
| 1023027307 | Shehzad M Parekh | Internal Medicine | 2580 Highway 95 Ste 224, Bullhead City, AZ 86442-7332 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1013403161 | Akdhc Surgery Center, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 100, Bullhead City, AZ 86442-7959 | 2018-07-02 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1659552479 | Akdhc, LLC | Internal Medicine | 1041 Hancock Rd, Ste A, Akdhc, LLC, Bullhead City, AZ 86442-0000 | 2007-11-20 |
| 1598954927 | Akdhc, LLC | Internal Medicine | 1225 Hancock Rd Ste 203, Bullhead City, AZ 86442-5962 | 2007-10-22 |
| 1740283423 | Peter Leopold | Internal Medicine | 2580 Highway 95 Ste 224, Bullhead City, AZ 86442-7332 | 2005-05-24 |
| 1316464159 | Akdhc Surgery Center, LLC | Internal Medicine | 2580 Highway 95 Ste 224, Bullhead City, AZ 86442-7332 | 2017-08-23 |
| 1942629563 | Akdhc, LLC | Internal Medicine | 2580 Highway 95, Suite 224, Bullhead City, AZ 86442-7491 | 2014-04-10 |
| 1023027307 | Shehzad M Parekh | Internal Medicine | 2580 Highway 95 Ste 224, Bullhead City, AZ 86442-7332 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366089328 | Akdhc, LLC | Internal Medicine | 525 S Watson Rd Ste 205, Buckeye, AZ 85326-3451 | 2019-12-09 |
| 1326515677 | Mind Body Kidney | Internal Medicine | 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 | 2018-10-25 |
| 1124503586 | Jean Letarte Md Pllc | Internal Medicine | 1515 E Florence Blvd Ste 102, Casa Grande, AZ 85122-5334 | 2018-10-01 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1902392079 | Akdhc,llc | Internal Medicine | 3600 W Tangerine Rd, Suite 110, Marana, AZ 85658 | 2018-07-02 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1073030532 | Akdhc Surgery Center, LLC | Internal Medicine | 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 | 2017-08-25 |
| 1720502073 | Akdhc, LLC | Internal Medicine | 4475 S I 19 Frontage Rd Ste 101, Green Valley, AZ 85614-5884 | 2017-07-28 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| Find all providers with the same taxonomy | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
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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.