SUK CHUL KIM (NPI# 1508005380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508005380 |
| Entity Type | Individual |
| Full Name | SUK CHUL KIM |
| Credential | M.D. |
| Practice Address |
1101 Glendale Road Ste. 110 Valparaiso IN 46383 |
| Mailing Address |
757 45th Street Ste. 201 Munster IN 46321 |
| Practice Telephone | 2194776828 |
| Practice Fax Number | 2194776832 |
| Mailing Telephone | 2199225550 |
| Mailing Fax Number | 2199225555 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2012-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
01071696A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 256254 | NY | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | NPI NUMBER | 1508005380 | 01 |
| Street Address |
1101 GLENDALE ROAD STE. 110 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750363206 | Erika Young | Internal Medicine | 2701 Leonard Dr, Valparaiso, IN 46383-7121 | 2005-11-18 |
| 1538576350 | Community Care Network, Inc | Internal Medicine | 3800 Saint Mary Rd, Suite 103, Valparaiso, IN 46383-3986 | 2014-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462880 | Dylan Slotar Md PC | Internal Medicine | 9124 Columbia Ave # B, Munster, IN 46321-2907 | 2019-05-15 |
| 1003163395 | Timothy Raymond Franson | Internal Medicine | 11610 Weeping Willow Ct, Zionsville, IN 46077-7838 | 2012-08-06 |
| 1720380959 | Sicc Services LLC | Internal Medicine | 350 W Columbia St # At, Suite 440, Evansville, IN 47710-1782 | 2010-11-19 |
| 1134438492 | David Lee Hyslop | Internal Medicine | 6013 Yellow Birch Ct, Avon, IN 46123-8235 | 2010-10-04 |
| 1992025563 | An Na Park | Internal Medicine | 801 Macarthur Blvd Ste 401, Munster, IN 46321-2919 | 2010-06-07 |
| 1932436177 | Mohammad Yousef Alkhatib | Internal Medicine | 1400 S Lake Park Ave Ste 304, Hobart, IN 46342-6791 | 2009-11-09 |
| 1659535904 | Donald Gregory Therasse | Internal Medicine | 9135 Timberwolf Ln, Zionsville, IN 46077-8320 | 2008-07-16 |
| 1760650386 | George Matthew Vail | Internal Medicine | 1050 Reid Pkwy Ste 205, Richmond, IN 47374-1159 | 2008-02-16 |
| 1598955957 | Sheila Mothkur, M.d. | Internal Medicine | 1501 Wabash St Rm 101, Michigan City, IN 46360-4364 | 2007-07-31 |
| 1689896862 | Evansville Cancer Care PC | Internal Medicine | 724 N Burkhardt Rd, Evansville, IN 47715-2740 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on SUK CHUL 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.