DAVID D KIM (NPI# 1508805052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508805052 |
| Entity Type | Individual |
| Full Name | DAVID D KIM |
| Credential | M.D. |
| Practice Address |
4720 Waters Ave Savannah GA 31404-6292 |
| Mailing Address |
Po Box 102635 Atlanta GA 30368-2635 |
| Practice Telephone | 9123544800 |
| Practice Fax Number | 9126295821 |
| Mailing Telephone | 9123544800 |
| Mailing Fax Number | 9126295821 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 047336 | GA | Allopathic & Osteopathic Physicians |
| Y | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
047336 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP | 511G701032 | 01 |
| BLUE CROSS BLUE SHIELD | 782177 | 01 | |
| GA | MEDICAID - STATESBORO | 000792932F | 01 |
| GA | MEDICARE RAILROAD | 1508805052 | 01 |
| SC | G47336 | 05 | |
| GA | MEDICAID- VIDALIA | 000792932H | 01 |
| GA | MEDICAID - SAVANNAH | 00792932G | 01 |
| SC | MEDICAID GRP. SAV | GPA977 | 01 |
| GA | 00792932B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1578106852 | David H Kim | Dentist | 2058 Kings Cross Ln, Cordova, TN 38016-5176 | 2019-10-19 |
| 1194378877 | David S Kim | Dentist | 121 Tatham Rd, Bensalem, PA 19020-1641 | 2019-07-22 |
| 1790341691 | David Kim | Physician Assistant | 993f Johnson Ferry Rd Ste 210, Atlanta, GA 30342-1602 | 2019-05-15 |
| 1316407539 | David Kim | Behavior Technician | 6056 Delaware Park Ct, Eastvale, CA 92880-0984 | 2019-03-22 |
| 1104398593 | David Solomon Kim | Acupuncturist | 3520 147th St Ph 1f, Flushing, NY 11354-3773 | 2018-12-22 |
| 1942738935 | David Kim | Social Worker | 45 Douglass St # 3, Brooklyn, NY 11231-4716 | 2017-06-02 |
| 1841673936 | David Hoyeon Kim | Dentist | 1234 Devonshire Ln, La Habra, CA 90631-7421 | 2015-07-07 |
| 1235517996 | David Kim | Surgery | 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 | 2015-05-14 |
| 1114318383 | David Tae Hun Kim | Dentist | 736 Tangelo Way, Fullerton, CA 92832-2630 | 2015-02-10 |
| Street Address |
4720 WATERS AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617419 | Shari Carney | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404 | 2005-05-31 |
| 1366734147 | Thomas J Kandl | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2011-05-11 |
| 1356575377 | Georgia Eye Institute Surgery Center LLC | Clinic/Center | 4720 Waters Ave, Savannah, GA 31404-6292 | 2009-05-05 |
| 1700039740 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 4720 Waters Ave, Savannah, GA 31404-6292 | 2008-11-03 |
| 1306006226 | Robin Ray | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2008-06-13 |
| 1508058181 | Memorial Health University Medical Center | General Acute Care Hospital | 4720 Waters Ave, Savannah, GA 31404-6292 | 2007-08-16 |
| 1740487131 | Jennifer Goodrich Bromley | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2007-06-28 |
| 1952323990 | Georgia Eye Institute, Inc. | Optometrist | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-07-25 |
| 1003831371 | Nicholas R. Bollin | Optometrist | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-07-13 |
| 1437198983 | Joseph R Gussler | Ophthalmology | 4720 Waters Ave, Savannah, GA 31404-6292 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 207WX0009X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Glaucoma Specialist |
| An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124519954 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 1000 Towne Center Blvd Ste 806, Pooler, GA 31322-4070 | 2018-05-29 |
| 1508229832 | Jean Park | Ophthalmology | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2016-04-04 |
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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.