MICHAEL C. KIM (NPI# 1669436986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669436986 |
| Entity Type | Individual |
| Full Name | MICHAEL C. KIM |
| Credential | PT |
| Practice Address |
758 Old Norcross Rd Lawrenceville GA 30045-3385 |
| Practice Telephone | 6789857190 |
| Practice Fax Number | 6789857158 |
| Mailing Telephone | 6789857190 |
| Mailing Fax Number | 6789857158 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT007802 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627742 | Michael Kim | Acupuncturist | 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 | 2015-05-05 |
| 1174945273 | Michael Jong-gyu Kim | Dentist | 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 | 2014-01-09 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1336476373 | Michael Hwangsuk Kim | Dentist | 12865 Main St, #201, Garden Grove, CA 92840-8205 | 2009-11-12 |
| 1861658486 | Michael Kim | Anesthesiology | 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 | 2008-08-03 |
| 1609076512 | Michael K Kim | Chiropractor | 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2007-07-19 |
| 1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
| 1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
| 1093870198 | Michael S. Kim | Dentist | 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 | 2006-12-27 |
| 1295810554 | Michael Ethan Kim | Dentist | 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 | 2006-10-26 |
| Street Address |
758 OLD NORCROSS RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277591 | Ruthann Phillips | Physician Assistant | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2005-07-07 |
| 1396270898 | Chanh Huynh | Physical Therapist | 758 Old Norcross Rd, Suite 110, Lawrenceville, GA 30046-3385 | 2017-04-22 |
| 1124478730 | Kevin Todd Miller | Dietitian, Registered | 758 Old Norcross Rd, Suite 175, Lawrenceville, GA 30046-3385 | 2016-06-14 |
| 1932519527 | Amanda Nicole Leon | Specialist/Technologist | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2014-05-05 |
| 1306261896 | Emilia Morris | Physician Assistant | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2014-02-20 |
| 1972926152 | Rovi-jane Mehta | Nurse Practitioner | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2014-01-24 |
| 1760734164 | Alicia B Glassford | Dietitian, Registered | 758 Old Norcross Rd, Suite 175, Lawrenceville, GA 30046-3385 | 2012-10-09 |
| 1457639122 | Brenna Williford Coggins | Nurse Practitioner | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2011-07-29 |
| 1093048845 | Hartley L. Falbaum | Orthopaedic Surgery | 758 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3385 | 2009-09-11 |
| 1730318031 | Caitlyn M Giudici | Physical Therapist | 758 Old Norcross Rd, Suite 110, Lawrenceville, GA 30046-3385 | 2009-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376737114 | Juan Michelle Martin | Physical Therapist | 480 Congress Pkwy, Lawrenceville, GA 30044-4579 | 2007-09-05 |
| 1588023998 | Optimum Care Physical Therapy | Physical Therapist | 1950 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043-5918 | 2016-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100479 | Production Physicos,llc | Physical Therapist | 461 Sandy Creek Rd Ste 1102, Fayetteville, GA 30214-4284 | 2020-09-28 |
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1841801644 | Noah Konner Lindsey | Physical Therapist | 5270 Peachtree Pkwy Ste 116, Norcross, GA 30092-2558 | 2020-08-14 |
| 1942810106 | Caitlin M Hesse | Physical Therapist | 4480 S Cobb Dr Se Ste Y, Smyrna, GA 30080-6984 | 2020-08-03 |
| 1669007316 | Dynamic Swing Performance, LLC | Physical Therapist | 2031 Cobblestone Cir Ne, Brookhaven, GA 30319-4909 | 2020-03-03 |
| 1356810113 | Ryan Daniel Ahlenius | Physical Therapist | 6360 Dove Dr, Loganville, GA 30052-3031 | 2018-11-21 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1700363686 | Jason Y Kawamura | Physical Therapist | 2300 Liam Ave Ste 103, Dacula, GA 30019-2265 | 2018-07-24 |
| 1649766528 | Carrie Elizabeth Dendtler | Physical Therapist | 320 Montgomery Ave, Alpharetta, GA 30004-3163 | 2018-07-03 |
| 1558853085 | Re Generate Physiotherapy, LLC | Physical Therapist | 1240 Ga-54, Building 700, Fayetteville, GA 30214 | 2018-05-31 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on MICHAEL C. KIM.
| 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.