WOO CHANG KIM (NPI# 1467824920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467824920 |
| Entity Type | Individual |
| Full Name | WOO CHANG KIM |
| Practice Address |
Building 415 & 426 31st and Battalion Ave Fort Hood TX 76544 |
| Mailing Address |
36065 Santa Fe Ave Fort Hood TX 76544-5060 |
| Practice Telephone | 2542870183 |
| Mailing Telephone | 2542870183 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
630 | WY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 E Hospital Rd, Fort Gordon, GA 309055650 | 7067873143 | 7067871745 |
| Street Address |
BUILDING 415 & 426 31ST AND BATTALION AVE |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538441845 | Kristi Michal Ensor Pruiksma | Psychologist | 36000 Darnall Loop # 47, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544-5095 | 2011-09-13 |
| 1639301377 | Charity Beth Wilkinson | Psychologist | Building 3508, Rough Rider Village, Darnall Loop, Fort Hood, TX 76544-5005 | 2009-08-13 |
| 1558411710 | Dorothy Louise Mcdonald | Psychologist | Fort Hood Resillience & Restoration Cente, Crdamc Bldg 3, Fort Hood, TX 76544 | 2007-01-11 |
| 1144377169 | Pedro Antonio Casas | Psychologist | Resilience and Restoration Center, Building 36003, Fort Hood, TX 76544 | 2007-01-04 |
| 1982765491 | Peter Frohman | Psychologist | 36000 Darnall Loop Bldg 36003, Fort Hood, TX 76544-5095 | 2006-12-12 |
| 1174145023 | Joan Marie Figueroa-marquez | Psychologist | Carl R. Darnall Army Medical Center, 36065 Santa Fe Ave., Fort Hood, TX 76544 | 2020-05-14 |
| 1841680675 | David Hardley | Psychologist | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2015-02-02 |
| 1194163527 | Abby Elizabeth Blankenship | Psychologist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2013-06-07 |
| 1619315322 | Paul Daanen | Psychologist | 36000 Darnall Loop, Fort Hood, TX 76544 | 2013-06-05 |
| 1811232564 | Michael Brian Brennan | Psychologist | 36000 Darnall Loop, Carl R. Darnell Army Medical Center, Fort Hood, TX 76544-5095 | 2012-12-06 |
| Find all providers in FORT HOOD | ||||
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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.