KIM ENG KOO (NPI# 1477659373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477659373 |
| Entity Type | Individual |
| Full Name | KIM ENG KOO |
| Credential | M.D. |
| Practice Address |
220 S Englewood Dr Rocky Mount NC 27804-3620 |
| Mailing Address |
220 S Englewood Rocky Mount NC 27804 |
| Practice Telephone | 2523821464 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 2000-0246 | NC | Other Service Providers |
| Y | 207T00000X | Neurological Surgery | 2000-0426 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 021KV | 01 |
| NC | 5950795 | 05 |
| Street Address |
220 S ENGLEWOOD DR |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538124177 | Atlantic Neurosurgery Consultants, Pa | Neurological Surgery | 4056 Capital Dr, Rocky Mount, NC 27804-3123 | 2006-04-18 |
| 1053562223 | Nash Mso, Inc. | Neurological Surgery | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2008-10-07 |
| 1962619023 | Raymond Michael Baule | Neurological Surgery | 4056 Capital Dr, Rocky Mount, NC 27804 | 2007-05-17 |
| 1265422471 | Nelson T Macedo | Neurological Surgery | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472125 | Novant Medical Group, Inc. | Neurological Surgery | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-15 |
| 1811492069 | Unc Rockingham Health Care, Inc. | Neurological Surgery | 518 S Van Buren Rd Ste 6, Eden, NC 27288-5017 | 2018-03-29 |
| 1538616289 | Private Diagnostic Clinic, Pllc | Neurological Surgery | 1212 Cedarhurst Dr Ste 102, Raleigh, NC 27609-5588 | 2016-09-09 |
| 1306228028 | Charles Rawlings IIi | Neurological Surgery | 426 Old Salem Rd, Winston Salem, NC 27101-5268 | 2015-06-19 |
| 1790048593 | Edward Yap | Neurological Surgery | 170 Manning Dr, Cb# 7060, Department of Neurosurgery, Chapel Hill, NC 27599-7060 | 2012-06-18 |
| 1588921969 | Thomas Ostergard | Neurological Surgery | 1130 N Church St Ste 200, Greensboro, NC 27401-1041 | 2012-04-23 |
| 1679898548 | Andrew Hall Marky | Neurological Surgery | 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277-3175 | 2010-04-02 |
| 1114256468 | William Leonard Sims | Neurological Surgery | 955 37th Ave Ne, Hickory, NC 28601-9609 | 2009-12-16 |
| 1497080006 | Novant Medical Group Inc | Neurological Surgery | 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 | 2009-10-15 |
| 1205068186 | Jeffrey S Beecher | Neurological Surgery | 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 | 2009-08-11 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
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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.