JAE KIM (NPI# 1497287635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497287635 |
| Entity Type | Individual |
| Full Name | JAE KIM |
| Practice Address |
6850 Lake Nona Blvd Orlando FL 32827-7408 |
| Practice Telephone | 4075182751 |
| Mailing Telephone | 4075182751 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558778100 | Jae Kim | Pharmacist | 14474 37th Ave, 1st Floor, Flushing, NY 11354-5934 | 2014-07-15 |
| 1215274865 | Jae S. Kim | Dentist | 1025 N Fillmore St, A, Arlington, VA 22201-6701 | 2013-01-15 |
| 1306112875 | Jae Hee Kim | Pharmacist | 1202 N 10th Pl Apt 1214, Renton, WA 98057-5635 | 2012-03-28 |
| 1548531536 | Jae Chil Kim | Physical Medicine & Rehabilitation | 107 Redcliff Dr, Jefferson Hills, PA 15025-3139 | 2012-01-23 |
| 1407143191 | Jae Man Kim | Acupuncturist | 3409 W Burbank Blvd, Burbank, CA 91505-2233 | 2011-07-01 |
| 1609168327 | Jae Y Kim | Otolaryngology | 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 | 2011-05-12 |
| 1689849176 | Jae Hyun Kim | Prosthetist | 1918 Coliseum Blvd, Greensboro, NC 27403-3211 | 2008-04-25 |
| 1477745388 | Jae Woo Kim | Dentist | 403 N Five Points Rd, West Chester, PA 19380-4632 | 2007-08-14 |
| 1083832273 | Jae Gwon Kim | Dentist | 777 N. Rainbow Blvd., Ste. 395, Las Vegas, NV 89107 | 2007-04-23 |
| 1043359482 | Jae Seung Kim | Acupuncturist | 3400 W Olympic Bl, Ste207, Los Angeles, CA 90019-2122 | 2007-02-05 |
| Street Address |
6850 LAKE NONA BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154305043 | Martin M Klapheke | Psychiatry & Neurology | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2005-12-04 |
| 1104438522 | Allison Steinauer | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-08-18 |
| 1467071415 | Sweta Subhadarshani | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-04-10 |
| 1417586744 | Alexander Huttleston | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-04-07 |
| 1659909000 | Justin Ngoc Nguyen | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-03-31 |
| 1851929343 | Chelsea Skye Life | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-03-30 |
| 1982232898 | Chukwuemeka Chinedu Ajufo | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-03-28 |
| 1053948182 | Michael Daniel Young | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-03-26 |
| 1730716242 | Christopher Konkel | Clinic/Center | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-03-25 |
| 1790312163 | Marialla Inoyatov | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
| 1407463508 | Michelle A Trak | Student in an Organized Health Care Education/Training Program | 2201 Research Parkway Suite 300, Orlando, FL 32816-0001 | 2020-09-23 |
| 1821619263 | Matthew Robin | Student in an Organized Health Care Education/Training Program | 10135 Brandon Cir, Orlando, FL 32836-3712 | 2020-04-27 |
| 1669092292 | Daniel Duybinh Nguyen | Student in an Organized Health Care Education/Training Program | 10030 Dean Chase Blvd, Orlando, FL 32825-4850 | 2020-04-23 |
| 1326668229 | Zachary Thomas Felsberg | Student in an Organized Health Care Education/Training Program | 3113 Eagle Blvd, Orlando, FL 32804-3703 | 2020-04-21 |
| 1225667934 | Zamaris Rivera | Student in an Organized Health Care Education/Training Program | 12805 Pegasus Drive, Room 123, Orlando, FL 32816 | 2020-04-04 |
| 1447889159 | Zoe Rocke | Student in an Organized Health Care Education/Training Program | 3849 Township Square Blvd Apt 823, Orlando, FL 32837-5386 | 2020-04-04 |
| 1114556800 | Ronald Bosco Benard Saborio | Student in an Organized Health Care Education/Training Program | 121 Glowing Peace Ln, Orlando, FL 32824-6141 | 2020-04-03 |
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1760010565 | Noeline Mukawera Ndwaniye | Student in an Organized Health Care Education/Training Program | 12012 Lake Cypress Cir Apt C304, Orlando, FL 32828-7069 | 2020-03-29 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on JAE 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.