DR. ANATOLE S KIM (NPI# 1477606549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477606549 |
| Entity Type | Individual |
| Full Name | DR. ANATOLE S KIM |
| Credential | MD |
| Practice Address |
611 N 39th Ave Yakima WA 98902-6348 |
| Practice Telephone | 5092491288 |
| Practice Fax Number | 5092491288 |
| Mailing Telephone | 5092491288 |
| Mailing Fax Number | 5092491288 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2018-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD00040990 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8299224 | 05 |
| Street Address |
611 N 39TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476131 | Roy E Gondo | Family Medicine | 611 N 39th Ave, Yakima, WA 98902-6348 | 2005-06-11 |
| 1487933545 | Lisa M Benton | Nurse Practitioner | 611 N 39th Ave, Yakima, WA 98902-6348 | 2011-08-08 |
| 1023275427 | Raylee Susan Weaver-jensen | Physician Assistant | 611 N 39th Ave, Yakima, WA 98902-6348 | 2008-05-22 |
| 1669541694 | Michael S Urakawa | Physician Assistant | 611 N 39th Ave, Yakima, WA 98902-6348 | 2006-11-06 |
| 1285738799 | Quality Care Medical Clinic,llc | Family Medicine | 611 N 39th Ave, Yakima, WA 98902-6348 | 2006-09-13 |
| 1730199860 | John W Lyzanchuk | Family Medicine | 611 N 39th Ave, Yakima, WA 98902-6348 | 2006-08-09 |
| 1508876632 | Robert G Kuhns | General Practice | 611 N 39th Ave, Yakima, WA 98902 | 2006-08-09 |
| 1417967548 | Bonnie Louise Kultgen | Nurse Practitioner | 611 N 39th Ave, Yakima, WA 98902-6348 | 2006-08-09 |
| 1679583702 | Dianna M Kallis | Nurse Practitioner | 611 N 39th Ave, Yakima, WA 98902-6348 | 2006-08-09 |
| 1588674618 | Larry H Keller | Chiropractor | 611 N 39th Ave, Yakima, WA 98902-6348 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255844163 | Shc Medical Center - Yakima | Internal Medicine | 1005 W Walnut St Ste 120, Yakima, WA 98902-3360 | 2017-11-14 |
| 1164649018 | Oscar V. Bailon | Internal Medicine | 7303 Heathers Way, Yakima, WA 98903-9281 | 2007-04-20 |
| 1184792418 | Dao Gia Pham | Internal Medicine | 406 S 30th Ave Ste 101, Yakima, WA 98902-3713 | 2006-12-04 |
| 1326076118 | Yakima Heart Center, Inc., P.s. | Internal Medicine | 406 S. 30th Ave Suite 201, Yakima, WA 98902 | 2006-06-29 |
| 1790948974 | Jesse Cone | Internal Medicine | 406 S 30th Ave Ste 101, Yakima, WA 98902-3713 | 2008-07-08 |
| 1710149737 | Adarsh Subodh Bhardwaj | Internal Medicine | 406 S 30th Ave, Suite 101, Yakima, WA 98902-3713 | 2008-06-30 |
| 1184823098 | Bharat Keshavaprasad | Internal Medicine | 406 S 30th Ave Ste 101, Yakima, WA 98902-3713 | 2007-07-12 |
| 1629116397 | Adriana Slobodova | Internal Medicine | 111 S 11th Ave, Suite 203, Yakima, WA 98902-3242 | 2007-02-02 |
| 1568515625 | Kevin P Foley | Internal Medicine | 406 S 30th Ave, Suite 201, Yakima, WA 98902-3713 | 2007-01-19 |
| 1235282302 | David W Krueger | Internal Medicine | 406 S 30th Ave, Suite 101, Yakima, WA 98902-3713 | 2007-01-19 |
| Find all providers in YAKIMA | ||||
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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.