ANDREW KIM, DO PLLC (NPI# 1679980692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679980692 |
| Entity Type | Organization |
| Organization Name | ANDREW KIM, DO PLLC |
| Practice Address |
2875 Saint Rose Pkwy Suite#120 Henderson NV 89052-4838 |
| Mailing Address |
4616 W Sahara Ave Suite 261 Las Vegas NV 89102-3654 |
| Practice Telephone | 7022435550 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | ANDREW KIM (PRESIDENT) |
| Authorized Official Telephone | 7027567230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
DO1610 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
2875 SAINT ROSE PKWY SUITE#120 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417142357 | St. Rose Family & Cosmetic Dentistry | Dentist | 2875 Saint Rose Pkwy, Suite 110, Henderson, NV 89052-4838 | 2007-09-13 |
| 1649459041 | Colin Michael Campbell | Dentist | 2875 Saint Rose Pkwy, Building 10 Suite 110, Henderson, NV 89052-4838 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386622462 | Scott Matthew Martin | Physical Medicine & Rehabilitation | 2705 W Horizon Ridge Pkwy, Henderson, NV 89052-4434 | 2006-01-09 |
| 1982239307 | Las Vegas Comprehensive Pain Management Center PC | Physical Medicine & Rehabilitation | 1850 Whitney Mesa Dr Ste 180, Henderson, NV 89014-2093 | 2020-03-05 |
| 1124336425 | Mno Enterprises | Physical Medicine & Rehabilitation | 715 Mall Ring Cir, Suite 205, Henderson, NV 89014-6665 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007629 | Jonathan D Burns | Physical Medicine & Rehabilitation | 9830 Copenhagen Way, Reno, NV 89521-8018 | 2020-06-16 |
| 1164721627 | Peter Shao You Su | Physical Medicine & Rehabilitation | 6950 W Desert Inn Rd Ste 110, Las Vegas, NV 89117-3171 | 2011-03-23 |
| 1023219508 | Integrated Pain Relief, LLC | Physical Medicine & Rehabilitation | 4161 S Eastern Ave Ste A9, Las Vegas, NV 89119-5425 | 2007-05-30 |
| 1154421840 | Steve Brown Sierra Nevada Rehab Ltd | Physical Medicine & Rehabilitation | 1560 Fescue Ct, Reno, NV 89509 | 2006-09-23 |
| 1558382440 | Gail P Krivan | Physical Medicine & Rehabilitation | 707 N Minnesota St Ste B, Carson City, NV 89703 | 2006-07-23 |
| 1578508065 | Mountain Rehabilitation Services Poindexter & Associates Ltd | Physical Medicine & Rehabilitation | 2641 Box Canyon Dr, Suite B, Las Vegas, NV 89128-0419 | 2006-06-18 |
| 1477504157 | Steven A Holper | Physical Medicine & Rehabilitation | 3233 W Charleston Blvd Ste 202, Las Vegas, NV 89102-1999 | 2006-05-15 |
| 1558369181 | Minh H Nguyen | Physical Medicine & Rehabilitation | 6955 N Durango Dr, Suite 1115-361, Las Vegas, NV 89149-4411 | 2005-07-08 |
| 1346868387 | Telehealth Clinical Evals, LLC | Physical Medicine & Rehabilitation | 9505 Hillwood Dr, Las Vegas, NV 89134-0506 | 2020-07-07 |
| 1962985630 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3967 S Mccarran Blvd, Reno, NV 89502-7510 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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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.