DR. JI SU KIM (NPI# 1487216198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487216198 |
| Entity Type | Individual |
| Full Name | DR. JI SU KIM |
| Credential | CRNA, DNP |
| Practice Address |
3400 Spruce St Philadelphia PA 19104-4238 |
| Practice Telephone | 2153498310 |
| Mailing Telephone | 2153498310 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN686649 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447639554 | Ji Sun Kim | Pharmacist | 1100 W Glendon Way Apt 20, Alhambra, CA 91803-3194 | 2015-05-21 |
| 1740599869 | Ji Woo Kim | Acupuncturist | 424 S 308th St, Federal Way, WA 98003-4025 | 2010-10-07 |
| 1164677746 | Ji In Kim | Dentist | 150 E Centennial Pkwy Ste 113, N Las Vegas, NV 89084 | 2008-11-24 |
| 1740357755 | Ji S Kim | Dentist | 26750 Grand River Ave, Redford, MI 48240-1529 | 2006-11-29 |
| 1578641023 | Ji Yong Kim | Acupuncturist | 225 Broad Ave, Palisades Park, NJ 07650-1588 | 2006-11-01 |
| 1114533965 | Ji Hyun Kim | Pharmacist | 7600 Schomburg Rd, Columbus, GA 31909 | 2020-09-17 |
| 1457907487 | Ji Kim | Acupuncturist | 196 Main St, Nanuet, NY 10954-3324 | 2019-08-15 |
| 1740740356 | Ji Ho Kim | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2019-03-20 |
| 1225501596 | Ji Kim | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2019-01-09 |
| 1679063598 | Ji S Kim | Social Worker | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-05-16 |
| Street Address |
3400 SPRUCE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415966 | Samuel Isaiah Parry | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2005-05-24 |
| 1831790609 | Renate Marie Balitzky | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-11-06 |
| 1053911156 | Jordan Charles Templeton | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4274 | 2020-10-28 |
| 1992305304 | Alyssa N Volpe | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1700486115 | Christina Haddow | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1629677497 | Marissa Leigh Berlant | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-22 |
| 1811595523 | Kristen Gilgen | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-14 |
| 1962014654 | Stacey Pham | Nurse Practitioner | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-08-23 |
| 1265040109 | Abdullah T Almuqate | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-07-16 |
| 1952928541 | Stefen Andrianus | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1184139248 | Sean Hanna | Nurse Anesthetist, Certified Registered | 736 Pine St Unit C, Philadelphia, PA 19106-4005 | 2017-12-11 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1174900591 | Gregory J Nordick | Nurse Anesthetist, Certified Registered | 1035 Lombard St # 10, Philadelphia, PA 19147-1262 | 2015-05-05 |
| 1003200809 | Joseph Clair | Nurse Anesthetist, Certified Registered | 1719 Spruce St Apt 4, Philadelphia, PA 19103-6135 | 2015-03-19 |
| 1033521406 | Anne Patricia Gibson | Nurse Anesthetist, Certified Registered | 1222 Arch St, Apt. # 508, Philadelphia, PA 19107-2816 | 2014-05-20 |
| 1326480484 | Anne James Anithottam | Nurse Anesthetist, Certified Registered | 9770 Susan Rd, Philadelphia, PA 19115-2928 | 2013-07-17 |
| 1598002008 | Greg Pedegana | Nurse Anesthetist, Certified Registered | 785 N Judson St, Philadelphia, PA 19130-2507 | 2013-01-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.