DR. KIM NGUYEN (NPI# 1548792203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548792203 |
| Entity Type | Individual |
| Full Name | DR. KIM NGUYEN |
| Credential | MD |
| Practice Address |
3401 Civic Center Blvd Division of Allergy & Immunology Philadelphia PA 19104 |
| Practice Telephone | 2155901997 |
| Mailing Telephone | 2155901997 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MT213508 | PA | Allopathic & Osteopathic Physicians |
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
MT213508 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1063047678 | Kim Nguyen | Pharmacist | 91-919 Fort Weaver Rd Ste 106, Ewa Beach, HI 96706-2257 | 2020-03-04 |
| 1275059495 | Kim Nguyen | Pharmacist | 5305 W Buckeye Rd Ste B, Phoenix, AZ 85043-4727 | 2017-08-18 |
| 1225551377 | Kim Nguyen | Behavior Technician | 1819 Deauville Dr, Stockton, CA 95210-2285 | 2017-07-20 |
| 1649624107 | Kim Nguyen | Chiropractor | 4841 Birmingham Dr, San Jose, CA 95136-2907 | 2016-04-20 |
| 1548625767 | Kim Nguyen | Pharmacist | 4500 Truxel Rd Apt 124, Sacramento, CA 95834-3730 | 2015-12-15 |
| 1609262344 | Kim Thi Nguyen | Psychiatry & Neurology | 100 West Beaver Creek Blvd., Suite 208, Avon, CO 81620 | 2015-04-09 |
| 1245637248 | Kim Ngoc Nguyen | Physician Assistant | 4019 Royal Plantation Ln, Missouri City, TX 77459-2367 | 2014-11-20 |
| 1962808113 | Kim T Nguyen | Counselor | 63 West 119th Street, Apt 1, New York, NY 10026 | 2014-11-17 |
| 1427464692 | Kim Mai Nguyen | Optometrist | 1114 Silber Rd Ste C, Houston, TX 77055-7142 | 2014-07-08 |
| Street Address |
3401 CIVIC CENTER BLVD DIVISION OF ALLERGY & IMMUNOLOGY |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| 1932700259 | Rukhsar Karim Machiwalla | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-11-03 |
| 1346840519 | Vanessa Leigh Jones | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-27 |
| 1275131849 | Kelsey Ann Maher | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-15 |
| 1437756020 | Jennifer-rose Eccles | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-06 |
| 1891309787 | Morgan Mcmanus | Genetic Counselor, MS | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-08 |
| 1891309456 | Abigail G Stefanides | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-01 |
| 1124631247 | Abrar Khaled Alabdulhadi | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-28 |
| 1003427014 | Terrence Caldwell Jr. | Pharmacist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-13 |
| 1760093298 | Paige Emily Naschke | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-10 |
| 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 | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851667752 | Hillary Gordon | Pediatrics | 833 Chestnut St Ste 300, Philadelphia, PA 19107-4405 | 2012-03-26 |
| 1366068488 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-06-24 |
| 1922642354 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1003450420 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
| 1174977227 | Amandeep Sandhu | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2016-04-14 |
| 1255778940 | David Andrew Hill | Pediatrics | 3401 Civic Center Blvd, 9nw63, Philadelphia, PA 19104 | 2013-06-04 |
| 1013217686 | Irene Ngar Yee Fung | Pediatrics | 3550 Market St Fl 3, Children's Hospital of Philadelphia - Allergy & Immun, Philadelphia, PA 19104-3365 | 2010-10-28 |
| 1881856466 | Ashley Mariel Kazatsky | Pediatrics | 3500 Civic Center Blvd, Philadelphia, PA 19104 | 2008-06-25 |
| 1396944906 | Ashwini P. Reddy | Pediatrics | 3500 Civic Center Blvd, Philadelphia, PA 19104-4395 | 2007-07-13 |
| 1265636807 | Neil David Romberg | Pediatrics | 3500 Civic Center Blvd, Philadelphia, PA 19104 | 2007-06-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on DR. KIM NGUYEN.
| 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.