HACK JAE KIM (NPI# 1588647044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588647044 |
| Entity Type | Individual |
| Full Name | HACK JAE KIM |
| Credential | M.D. |
| Practice Address |
2680 S Val Vista Dr Ste 116 Gilbert AZ 85295-2154 |
| Mailing Address |
3707 N 7th St Ste 200 Phoenix AZ 85014-5095 |
| Practice Telephone | 4805075678 |
| Practice Fax Number | 4805075677 |
| Mailing Telephone | 4805075678 |
| Mailing Fax Number | 4805075677 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2014-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
32877 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
32877 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 865123 | 05 |
| Street Address |
2680 S VAL VISTA DR STE 116 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194293043 | Brooke Wilson | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2018-11-08 |
| 1851800049 | Matthew Patrick Shannon | Physician Assistant | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2017-09-20 |
| 1184154411 | Emily Ann Nagy | Nurse Practitioner | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2017-06-19 |
| 1386930667 | Rizwan Jafri | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2011-06-24 |
| 1932184918 | Virender K Sharma | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2005-12-13 |
| 1669457206 | Ananya Das | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1376813121 | Weinberg Gastrointestinal Associates, Pllc | Internal Medicine | 4915 E. Baseline Rd., #126, Gilbert, AZ 85234 | 2012-01-11 |
| 1992743173 | Edward J Cooper | Internal Medicine | 2730 S. Val Vista Dr., Suite #187, Gilbert, AZ 85296 | 2006-06-02 |
| 1194293043 | Brooke Wilson | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2018-11-08 |
| 1386930667 | Rizwan Jafri | Internal Medicine | 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | 2011-06-24 |
| 1386870459 | Nelson H. Lim Md, LLC | Internal Medicine | 2563 S Val Vista Dr, Ste 101, Gilbert, AZ 85295-1804 | 2009-06-03 |
| 1477797710 | Desert Valley Gastroenterology, LLC | Internal Medicine | 3921 E Baseline Rd, Suite 001, Gilbert, AZ 85234-2727 | 2009-04-30 |
| 1073795571 | Accredited Center for Digestive Health Pllc | Internal Medicine | 2563 S Val Vista Dr, Ste 101a, Gilbert, AZ 85295 | 2007-11-27 |
| 1447351879 | Arthrocare Arthritis Care and Research, P.C. | Internal Medicine | 2451 E Baseline Rd, Suite 440, Gilbert, AZ 85234-2471 | 2006-09-26 |
| 1194820233 | Rohit Vanraj Mahajani | Internal Medicine | 201 W Guadalupe Rd, Suite 209, Gilbert, AZ 85233-3334 | 2006-09-13 |
| 1366463168 | Nelson H Lim | Internal Medicine | 2680 S Val Vista Dr, Suite 116, Gilbert, AZ 85295-2152 | 2006-07-21 |
| Find all providers in GILBERT | ||||
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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.