CRISTINA KIM (NPI# 1588914907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588914907 |
Entity Type | Individual |
Full Name | CRISTINA KIM |
Credential | DO |
Practice Address |
4920 So 30th Street Suite 103 Omaha NE 68107-1656 |
Practice Telephone | 4027344110 |
Practice Fax Number | 4027343990 |
Mailing Telephone | 4027344110 |
Mailing Fax Number | 4027343990 |
Enumeration Date | 2012-09-12 |
Last Update Date | 2014-09-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 1166 | NE | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 125059833 | IL | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962532481 | Cristina Kim | Dietitian, Registered | 1160 Old Peachtree Rd, Duluth, GA 30097-5125 | 2007-03-06 |
1780233098 | Cristina L Kim | Nurse Practitioner | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-09-09 |
1649679952 | Cristina Kim | Nurse Practitioner | 1225 15th St, Santa Monica, CA 90404-1101 | 2014-08-22 |
1881974681 | Cristina H Kim | Physician Assistant | 462 1st Ave, Nbv 15s5, New York, NY 10016-9196 | 2011-08-24 |
Street Address |
4920 SO 30TH STREET SUITE 103 |
City | OMAHA |
State | NE |
Zip Code | 68107-1656 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679570659 | Michelle Renee Christensen | Physician Assistant | 4920 So 30th Street, Suite 103, Omaha, NE 68107-1656 | 2005-07-05 |
1902158066 | Jessica Downes | Pharmacist | 4920 So 30th Street, Suite 103, Omaha, NE 68107-1656 | 2012-10-12 |
1750678231 | Caitlin Renn | Pediatrics | 4920 So 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-07-05 |
1629259817 | Jodi M Kintzle-wynn | Nurse Practitioner | 4920 So 30th Street, Suite 103, Omaha, NE 68107-1656 | 2007-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
Find all providers in zip 68107 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508467580 | Stephen Lazoritz | Pediatrics | 4245 S 121st Plz, Omaha, NE 68137-2132 | 2020-11-05 |
1760976385 | Eric Spencer West | Pediatrics | 982185 Nebraska Medical Center Omaha, Omaha, NE 68198-2185 | 2018-06-18 |
1669962130 | Rachel Kathryn Schlueter | Pediatrics | 982185 Nebraska Medical Cente, Omaha, NE 68198-2185 | 2018-05-10 |
1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
1881049708 | Dundee Pediatrics, LLC | Pediatrics | 5018 Underwood Ave, Suite 200, Omaha, NE 68132-2236 | 2016-04-28 |
1962866418 | Children's Hospital & Medical Center | Pediatrics | 110 N 175th St Ste 1600, Children's Outpatient Surgery Center, Omaha, NE 68118-3581 | 2016-04-11 |
1437513264 | Beyond Care Pediatrics LLC | Pediatrics | 16945 Frances St Ste 200b, Omaha, NE 68130-2312 | 2016-04-07 |
1891155313 | Children's Hospital & Medical Center | Pediatrics | 4825 Dodge St, Children's Hospital & Medical Center Urgent Care Dundee, Omaha, NE 68132-3110 | 2016-02-25 |
1558735795 | Cynthia Wengel | Pediatrics | 16324 Hamilton Cir, Omaha, NE 68118-2463 | 2015-11-27 |
1053793836 | Austin Maurice Vandeberg | Pediatrics | 1224 S 52nd St, Omaha, NE 68106-1728 | 2015-06-29 |
Find all providers in OMAHA |
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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.