HANNA KIM (NPI# 1487602017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487602017 |
| Entity Type | Individual |
| Full Name | HANNA KIM |
| Credential | M.D. |
| Practice Address |
95 Crystal Run Rd Middletown NY 10941-7001 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4028 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 223191 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03019601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982080883 | Hanna Kim | Pharmacist | 8415 N Pima Rd Ste 125, Scottsdale, AZ 85258-4482 | 2015-08-03 |
| 1841691847 | Hanna Kim | Pharmacist | 721 Teakwood Ave, La Habra, CA 90631-7648 | 2014-09-09 |
| 1871893008 | Hanna S Kim | Dentist | 827 Hiawatha Pl S, Suite 102, Seattle, WA 98144-2847 | 2010-10-21 |
| 1356501464 | Hanna Kim | Pediatrics | 10 Center Drive Building 10, 12s 257a, Bethesda, MD 20892-2916 | 2008-06-11 |
| 1497384937 | Hanna Kim | Student in an Organized Health Care Education/Training Program | 4190 City Ave, Philadelphia, PA 19131-1626 | 2020-04-06 |
| 1932673381 | Hanna Kim | Behavior Technician | 901 O St Ste C, Arcata, CA 95521-5789 | 2019-01-18 |
| 1508333089 | Hanna Hyun Kim | Student in an Organized Health Care Education/Training Program | 1901 1st Ave, New York, NY 10029-7494 | 2018-11-01 |
| 1790282416 | Hanna Kim | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2018-04-09 |
| 1922503952 | Hanna Kim | Student in an Organized Health Care Education/Training Program | 2409 University Ave, Austin, TX 78712-1112 | 2018-03-30 |
| 1528573474 | Hanna Kim | Registered Nurse | 26 Bleecker St, New York, NY 10012-2413 | 2017-12-13 |
| Street Address |
95 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590661 | Karyn F. Robertson | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2005-07-07 |
| 1821600032 | Christina Couto | Occupational Therapist | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-08-19 |
| 1629698717 | Brian P Dudgeon | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-04-20 |
| 1073143145 | Heather Murphy-loucks | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2020-01-17 |
| 1316581069 | Lakeisha Bristow | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-11-05 |
| 1447811294 | Julia E. Byman | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2019-06-24 |
| 1396212478 | Megan Staudle | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-26 |
| 1568939775 | Logan Z Reisenbigler | Physician Assistant | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-10-25 |
| 1225515448 | Jaclyn A. Fisher | Nurse Practitioner | 95 Crystal Run Rd, Middletown, NY 10941 | 2018-07-20 |
| 1922596527 | Nefertari Alisha Owens | Obstetrics & Gynecology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2018-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316969694 | Jason Michaels | Dermatology | 102 Valley Road, Middletown, RI 02842-5237 | 2006-07-24 |
| 1093765307 | Salvatore Sciurba | Dermatology | 1000 Route 35 Ste 200, Middletown, NJ 07748-2606 | 2006-05-10 |
| 1699204784 | Victoria Lee Comeau | Dermatology | 102 Valley Rd, Middletown, RI 02842-5237 | 2017-06-12 |
| 1376089003 | Middlesex Dermatology, LLC | Dermatology | 11 S Main St, Middletown, CT 06457-3656 | 2017-01-19 |
| 1356753974 | Sarah Elizabeth Belden | Dermatology | 102 Valley Rd, Middletown, RI 02842 | 2014-06-02 |
| 1316357486 | Qiujie Jiang | Dermatology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2014-04-29 |
| 1720328107 | Matthew Clifford Willett | Dermatology | 102 Valley Rd, Middletown, RI 02842 | 2013-02-22 |
| 1336475193 | George Woolf Md PC | Dermatology | 210 East Main Street, Middletown, NY 10940-4088 | 2009-10-28 |
| 1063618767 | Valerie A Gershenhorn | Dermatology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2007-06-21 |
| 1619978558 | George Woolf | Dermatology | 111 Maltese Dr, Middletown, NY 10940-2115 | 2005-08-02 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
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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.