HAESOOK S KIM


Address: 302 Kensington Ave, Flint, MI 48503
Phone: 8107628058

HAESOOK S KIM (NPI# 1710941109) 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) 1710941109
Entity Type Individual
Full Name HAESOOK S KIM
Credential MD
Practice Address 302 Kensington Ave
Flint
MI 48503
Mailing Address Po Box 2987
Indianapolis
IN 46206
Practice Telephone 8107628058
Practice Fax Number 8107628016
Enumeration Date 2006-04-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
HK037386 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
HEALTH PLUS 3R07601 01
MCARE C1873 01
MI 1410999 05
BLUE CROSS 3208510060 01

Other Providers HAESOOK KIM

NPI Name Taxonomy Address Enumeration
1972020824 Haesook Kim Nurse Practitioner 2123 Ygnacio Valley Rd Ste K200, Walnut Creek, CA 94598-3336 2017-08-23

Office Location

Street Address 302 KENSINGTON AVE
City FLINT
State MI
Zip Code 48503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891782736 James Ewell Graham Jr. Obstetrics & Gynecology 302 Kensington Ave, Genesys Hurley Cancer Institute, Flint, MI 48503-2044 2005-10-05
1831797638 Kristin Dunaway Nurse Practitioner 302 Kensington Ave, Flint, MI 48503-2044 2020-10-14
1093285496 Christopher M Jackson Nurse Practitioner 302 Kensington Ave, Flint, MI 48503-2044 2018-11-28
1992246904 Larsen Medical Plc Surgery 302 Kensington Ave, Flint, MI 48503-2044 2017-03-10
1467801985 Collaborative Radiation Oncology Pllc Radiology 302 Kensington Ave, Flint, MI 48503-2044 2016-06-06
1942612577 Amy Jiries Calati Internal Medicine 302 Kensington Ave, Flint, MI 48503-2044 2014-06-02
1104161363 Dong Whan Oh Md Pllc Radiology 302 Kensington Ave, Flint, MI 48503-2044 2012-11-29
1124362272 Haesook S Kim Md Pllc Radiology 302 Kensington Ave, Flint, MI 48503-2044 2012-11-15
1962795013 Sirisha Manyam Internal Medicine 302 Kensington Ave, Flint, MI 48503-2044 2011-05-24
1588971261 Anne Marie Cox Dietitian, Registered 302 Kensington Ave, Flint, MI 48503-2044 2010-09-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457971640 Flint Odyssey House Inc. Community/Behavioral Health 1219 Martin Luther King Avenue, Flint, MI 48503 2020-04-17
1891265476 Mary Margaret Woodruff Health Educator 411 E. Third St Suite 2, Flint, MI 48503 2018-11-27
1669942223 Donna Jean Phelps Behavior Technician 2284 S Ballenger Highway, Flint, MI 48503 2018-11-27
1588150601 Dayonna Scott Social Worker Hope Network, 2830 Corunna Rd, Flint, MI 48503 2018-07-02
1801388020 Walgreen Co Durable Medical Equipment & Medical Supplies 2284 S Ballenger Hwy Ste F, Flint, MI 48503 2018-06-04
1134610504 Swathi Gorle Student in an Organized Health Care Education/Training Program Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 2018-05-22
1881128049 Kara Garr Registered Nurse 805 Tuuri Pl, Flint, MI 48503 2017-04-14
1518405638 Thomasinia Terrell Peer Specialist 422 W Fourth Ave, Flint, MI 48503 2017-02-09
1790231041 Roslyn Boyce Technician, Other 2213 E. Court Street, Flint, MI 48503 2016-08-28
1689120818 Yasmine Elhefnawy Student in an Organized Health Care Education/Training Program One Hurley Plaza 3d West, Flint, MI 48503 2016-08-28
Find all providers in zip 48503

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083903256 Omar Hesham Gayar Radiology 4100 Beecher Rd Ste A, Flint, MI 48532-3661 2011-03-28
1174523575 Jack Lee Nettleton Radiology 4100 Beecher Rd, Suite A, Flint, MI 48532-3661 2005-07-28
1467801985 Collaborative Radiation Oncology Pllc Radiology 302 Kensington Ave, Flint, MI 48503-2044 2016-06-06
1104161363 Dong Whan Oh Md Pllc Radiology 302 Kensington Ave, Flint, MI 48503-2044 2012-11-29
1124362272 Haesook S Kim Md Pllc Radiology 302 Kensington Ave, Flint, MI 48503-2044 2012-11-15
1790952059 Kiran Devisetty Radiology 4100 Beecher Rd, Suite A, Flint, MI 48532-3661 2008-05-14
1093839060 Hesham E Gayar, M.d., P.C. Radiology 4100 Beecher Rd, Suite A, Flint, MI 48532-3605 2007-03-16
1497864680 Flint Radiation Therapy Radiology 302 Kensington Ave, Flint, MI 48503-2044 2006-08-30
1316972086 Christian Hyde Radiology 4100 Beecher Rd, Flint, MI 48532-3661 2006-07-11
1548298375 Paul Kocheril Radiology 302 Kensington Ave, Flint, MI 48503-2044 2006-06-29
Find all providers in FLINT

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City FLINT
Zip Code 48503

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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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