CRISTINA KIM


Address: 4920 So 30th Street, Suite 103, Omaha, NE 68107-1656
Phone: 4027344110

CRISTINA KIM (NPI# 1588914907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers CRISTINA KIM

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

Office Location

Street Address 4920 SO 30TH STREET
SUITE 103
City OMAHA
State NE
Zip Code 68107-1656

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City OMAHA
Zip Code 68107

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Dataset Information

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.

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