ANNE KIM (NPI# 1487054110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487054110 |
Entity Type | Individual |
Full Name | ANNE KIM |
Credential | PA-C |
Practice Address |
15236 N 59th Ave Glendale AZ 85306-3206 |
Practice Telephone | 6023378356 |
Practice Fax Number | 6023378364 |
Mailing Telephone | 6023378356 |
Mailing Fax Number | 6023378364 |
Enumeration Date | 2014-08-29 |
Last Update Date | 2017-04-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578898003 | Anne Ducksook Kim | Pharmacist | 5881 Warner Ave, Huntington Beach, CA 92649-4657 | 2009-10-17 |
1386255933 | Anne Kim | Chiropractor | 1885 Winchester Blvd Ste 100, Campbell, CA 95008-1100 | 2020-08-16 |
1891314738 | Anne Eunyoung Kim | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-04-10 |
1891343513 | Anne Kim | Physical Therapist | 10128 W Broad St, Bldg 3, Ste K, Glen Allen, VA 23060 | 2019-08-27 |
1740757392 | Anne Kim | Nurse Practitioner | 462 1st Ave, New York, NY 10016-9196 | 2018-10-31 |
1619450715 | Anne Kim | Dentist | 1711 Atlantic Ave, Long Beach, CA 90813-2018 | 2018-09-13 |
1003287236 | Anne Kim | Registered Nurse | 1 Cooper Plz, Camden, NJ 08103-1461 | 2015-10-14 |
1073980181 | Anne H Kim | Specialist | 30 Nightingale Rd, Bldg 5521, Edwards Afb, CA 93524-0001 | 2015-08-24 |
1356653810 | Anne Won Kim | Acupuncturist | 40 Morristown Rd, Suite 1e, Bernardsville, NJ 07924-2310 | 2010-07-12 |
1417280025 | Anne Kim | Counselor | 2815 Steele Canyon Rd, El Cajon, CA 92019-4619 | 2009-09-14 |
Street Address |
15236 N 59TH AVE |
City | GLENDALE |
State | AZ |
Zip Code | 85306-3206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619186459 | Seth C Maxwell | Specialist | 15236 N 59th Ave, Glendale, AZ 85306-3206 | 2007-05-21 |
1932340395 | Occupational and Urgent Care Healthcenters, LLC | Clinic/Center | 15236 N 59th Ave, Glendale, AZ 85306-3206 | 2009-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
Find all providers in zip 85306 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1417519588 | Elizabeth Lisa Chilian | Physician Assistant | 345 Pioneer Dr Unit 1203, Glendale, CA 91203-2780 | 2019-06-28 |
1659846988 | Gabriel Thomas Lopez | Physician Assistant | 7419 W Planada Ln, Glendale, AZ 85310-5886 | 2018-10-13 |
1417445487 | Core Geriatric Medical Group LLC | Physician Assistant | 1505 S Glendale Ave, Glendale, CA 91205-3315 | 2018-04-25 |
1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
1114465598 | Diana Andreea Stan | Physician Assistant | 18555 N 79th Ave Ste B108, Glendale, AZ 85308 | 2017-02-07 |
1235687310 | Lynzi Kay Warner | Physician Assistant | 4344 W Bell Rd Ste 102, Glendale, AZ 85308-3589 | 2016-09-16 |
1558737791 | Martin Airian | Physician Assistant | 1577 E Chevy Chase Dr Ste 240, Glendale, CA 91206-4742 | 2015-08-11 |
Find all providers in GLENDALE |
Please comment or provide details below to improve the information on ANNE KIM.
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.