DR. CHO LONG ELIZABETH KIM (NPI# 1467680165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467680165 |
| Entity Type | Individual |
| Full Name | DR. CHO LONG ELIZABETH KIM |
| Credential | N.M.D. |
| Practice Address |
108 E 2nd Ave Mesa AZ 85210-1410 |
| Practice Telephone | 4805842677 |
| Mailing Telephone | 4805842677 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
09-1122 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 09-1122 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
108 E 2ND AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85210-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376729509 | Sara Care Inc | Assisted Living Facility | 108 E 2nd Ave, Mesa, AZ 85210-1410 | 2008-01-17 |
| 1255940649 | Empact - Suicide Prevention Center | Community Based Residential Treatment Facility, Mental Illness | 108 E 2nd Ave, Mesa, AZ 85210-1410 | 2020-07-30 |
| 1316505753 | Light House Group Home LLC | Substance Abuse Rehabilitation Facility | 108 E 2nd Ave, Mesa, AZ 85210-1410 | 2019-05-31 |
| 1336454867 | The River Source | Substance Abuse Rehabilitation Facility | 108 E 2nd Ave, Mesa, AZ 85210-1410 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645625 | Olympus Health Management LLC | General Practice | 3813 E Oasis Cir, Mesa, AZ 85215-9796 | 2020-09-29 |
| 1952917205 | Physical Medicine of Mesa LLC | General Practice | 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 | 2020-09-22 |
| 1831757152 | Jamie Todd | General Practice | 1140 N Higley Rd, Mesa, AZ 85205-5386 | 2019-06-01 |
| 1760969190 | Provider Provider PC | General Practice | 841 W 11th St, Mesa, AZ 85201-3109 | 2018-07-28 |
| 1538533799 | Feliz Care Centers Pllc | General Practice | 1345 E Main St Ste 100, Mesa, AZ 85203-8950 | 2015-11-25 |
| 1457755514 | Svelte LLC | General Practice | 6344 E Broadway Rd Ste 101, Mesa, AZ 85206-1634 | 2014-10-20 |
| 1336583186 | Chelsea Alexandra Roberts | General Practice | 4111 E Valley Auto Dr Ste 209, Mesa, AZ 85206-4609 | 2013-04-23 |
| 1194001198 | Keith Krein | General Practice | 3227 N 88th St, Mesa, AZ 85207-9782 | 2011-10-24 |
| 1396934402 | James S Cerneka Do Pllc | General Practice | 500 W 10th Pl Ste 120, Mesa, AZ 85201-3218 | 2007-10-15 |
| 1730390691 | Quirino B Valeros | General Practice | 2104 E Enid Ave, Mesa, AZ 85204-4512 | 2007-05-24 |
| Find all providers in MESA | ||||
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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.