MR. SUNG HO KIM (NPI# 1588127062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588127062 |
| Entity Type | Individual |
| Full Name | MR. SUNG HO KIM |
| Credential | PA-C |
| Practice Address |
1724 W Union Ave Ste 100 Tacoma WA 98405-2099 |
| Mailing Address |
7308 Bridgeport Way W Ste 201 Lakewood WA 98499-8000 |
| Practice Telephone | 2538305200 |
| Practice Fax Number | 2537521160 |
| Mailing Telephone | 2535827257 |
| Mailing Fax Number | 2537220388 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA61024917 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 Kerr Ln, Yorktown, VA 236934194 | 7578184558 | |
| 2727 Hollycroft St Ste 410, Gig Harbor, WA 983351369 | 2533584002 | 2533584015 |
| 7308 Bridgeport Way W Ste 201, Lakewood, WA 984998000 | 2535827257 | 2537220388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652631 | Sung Chol Kim | Physician Assistant | 210th Fa Bde, Unit # 15564, Apo, AP 96224 | 2018-06-13 |
| 1316305352 | Sung Ho Kim | Dentist | 1001 Chesterfield Pkwy E Ste 202, Chesterfield, MO 63017-2167 | 2016-02-05 |
| 1235503632 | Sung Kim | Acupuncturist | 1609 W Portsmith Ln, Arlington Heights, IL 60004-7958 | 2015-11-23 |
| 1871896928 | Sung Soo Kim | Pharmacist | 2243 Eagle Glen Pkwy, Corona, CA 92883-0785 | 2010-12-13 |
| 1376858480 | Sung Yee Kim | Pharmacist | 255 S Hill St, 217, Los Angeles, CA 90012-3500 | 2010-08-12 |
| 1750522181 | Sung Joo Kim | Dentist | 7302 Waterloo Walk, Laurel, MD 20707-6914 | 2009-03-15 |
| 1124269741 | Sung Kim | Nurse Practitioner | 4401 Francis Lewis Blvd Ste 3a, Bayside, NY 11361-3002 | 2009-03-11 |
| 1417154659 | Sung Y Kim | Radiology | 24 Davonshire Dr, Pittsburgh, PA 15238-1530 | 2007-06-29 |
| 1023219045 | Sung H Kim | Dentist | 14936 Northern Blvd, #201, Flushing, NY 11354-3884 | 2007-05-29 |
| 1346460714 | Sung Ho Kim | Acupuncturist | 5269 Buford Hwy Ne Ste 15, Doraville, GA 30340-1100 | 2007-04-26 |
| Street Address |
1724 W UNION AVE STE 100 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326588369 | Alyssa K. Leaning | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2017-02-23 |
| 1235741414 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2020-08-19 |
| 1215407770 | Monica Huang | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2018-11-27 |
| 1710469614 | Chase Tyler Krumins | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405 | 2018-09-06 |
| 1881101905 | Sarah Konecny | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124147087 | Aniko A Szentes | Physician Assistant | 3708 55th St Ne, Tacoma, WA 98422-4571 | 2007-03-29 |
| 1053324186 | Tommy Lamar Jackson | Physician Assistant | 1802 Yakima Ave Ste 204, Tacoma, WA 98405-5304 | 2006-08-13 |
| 1396763140 | Jerry John Papson | Physician Assistant | 1812 South J St, Suite 210, Tacoma, WA 98405-4964 | 2006-07-18 |
| 1215996798 | Jill Tricia Eggersknight | Physician Assistant | Orthopedic Surgery Service, Attn: Mchj-sop, Tacoma, WA 98431-0001 | 2006-03-22 |
| 1215407770 | Monica Huang | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2018-11-27 |
| 1154803237 | Limary Gonzalez | Physician Assistant | 1717 S J St, Tacoma, WA 98405-4933 | 2018-09-05 |
| 1942725072 | Breanna Lynn Polk | Physician Assistant | 1724 W Union Ave, Tacoma, WA 98405-2099 | 2017-08-09 |
| 1104354190 | Samantha Sokol | Physician Assistant | 1717 S J St, Tacoma, WA 98405-4933 | 2017-06-02 |
| 1548662752 | Tomasz Gondek | Physician Assistant | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2014-09-18 |
| 1740689330 | Jonathon Mcjilton Sr. | Physician Assistant | 1717 S J St, Tacoma, WA 98405-4933 | 2014-08-19 |
| Find all providers in TACOMA | ||||
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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.