DR. DANIEL DAE KIM (NPI# 1639444904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639444904 |
Entity Type | Individual |
Full Name | DR. DANIEL DAE KIM |
Credential | M.D. |
Practice Address |
2600 N Mayfair Rd Ste 901 Milwaukee WI 53226 |
Mailing Address |
2600 N Mayfair Rd Ste 901 Milwaukee WI 53226-1307 |
Practice Telephone | 4147743484 |
Practice Fax Number | 4147783445 |
Mailing Telephone | 4147743484 |
Mailing Fax Number | 4147783445 |
Enumeration Date | 2012-03-20 |
Last Update Date | 2020-10-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 69149 | WI | Allopathic & Osteopathic Physicians |
N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
69149 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AMERICAN ACADEMY OF OPHTHALMOLOGY | 000001463478 | 01 | |
WI | 163944904 | 05 | |
CAQH | 13928487 | 01 | |
WI | WI STATE LICENSE | 69149 | 01 |
WI | WI DEA LICENSE | FK7650535 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1 Medical Center Dr, Morgantown, WV 265061200 | 3045986925 | 3045986928 |
2799 W Grand Blvd, Detroit, MI 482022608 | 3139162600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336703743 | Daniel Kim | Student in an Organized Health Care Education/Training Program | 140 Coachman Pl E, Syosset, NY 11791-3053 | 2019-05-01 |
1366968679 | Daniel M Kim | Chiropractor | 5597 S Rainbow Blvd Ste 140, Las Vegas, NV 89118-1898 | 2017-08-17 |
1427581016 | Daniel Kim | Podiatrist | 3031 W March Ln Unit 310e, Stockton, CA 95219-6500 | 2017-04-10 |
1215487673 | Daniel Kim | Pharmacist | 13032 Abing Ave, San Diego, CA 92129-2288 | 2016-10-10 |
1699223693 | Daniel C Kim | Chiropractor | 2730 Gallows Rd, Apt 320, Vienna, VA 22180-7476 | 2016-09-19 |
1417347006 | Daniel Kim | Dentist | 800 Woodbury Rd Ste B, Woodbury, NY 11797-2503 | 2015-02-03 |
1104222140 | Daniel Kim | Acupuncturist | 28229 Ridgepoint Ct, Rancho Palos Verdes, CA 90275-3251 | 2014-11-18 |
1528400264 | Daniel S Kim | Dentist | 300 Old Forge Ln, Suite 301, Kennett Square, PA 19348-1897 | 2013-07-23 |
1255693297 | Daniel Kim | Student in an Organized Health Care Education/Training Program | 2552 Marron Rd Apt 301, Carlsbad, CA 92010-8397 | 2012-06-14 |
1851652382 | Daniel Jiyong Kim | Chiropractor | 1354 The Alameda, Suite 11, San Jose, CA 95126-5000 | 2012-05-31 |
Street Address |
2600 N MAYFAIR RD STE 901 |
City | MILWAUKEE |
State | WI |
Zip Code | 53226 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811992563 | Jonathan M Hershey | Ophthalmology | 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226-1307 | 2005-06-18 |
1124361142 | Ryan N Vogel | Ophthalmology | 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226-1307 | 2013-03-27 |
1891924650 | Nicholas H. Tosi | Ophthalmology | 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226-1307 | 2009-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
Find all providers in zip 53226 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003233255 | Kenneth Weinlander | Ophthalmology | 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 | 2014-03-26 |
1902054406 | Scott Dennis Barnes | Ophthalmology | 1723 E Grange Ave, Milwaukee, WI 53207-6135 | 2008-09-09 |
1881619187 | Michael Victor Darnieder | Ophthalmology | 8535 W Capitol Dr, Milwaukee, WI 53222-1826 | 2006-07-13 |
1821053109 | Wanda M Martinez Navarro | Ophthalmology | 925 North 87th Street, The Eye Institute, Milwaukee, WI 53226 | 2006-04-19 |
1144298027 | Norman E Cohen | Ophthalmology | 735 W Wisconsin Ave, Milwaukee, WI 53233-2413 | 2006-03-08 |
1114991890 | Gregory J Griepentrog | Ophthalmology | 925 N 87th St, Medical College Clinics At The Eye Institute, Milwaukee, WI 53226-4812 | 2006-02-17 |
1609869858 | Milwaukee Eye Care Associates S.c. | Ophthalmology | 1684 N Prospect Ave, Milwaukee, WI 53202-2408 | 2005-08-23 |
1093710741 | Frederick H Reeser | Ophthalmology | 2600 N Mayfair Rd, Ste 901, Milwaukee, WI 53226-1307 | 2005-06-18 |
1811992563 | Jonathan M Hershey | Ophthalmology | 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226-1307 | 2005-06-18 |
1568466928 | Deborah Costakos | Ophthalmology | 9000 W Wisconsin Ave, Pediatric Ophthalmology, Milwaukee, WI 53226-4874 | 2005-06-13 |
Find all providers in MILWAUKEE |
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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.