YOUNG DAE KIM (NPI# 1740223551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740223551 |
| Entity Type | Individual |
| Full Name | YOUNG DAE KIM |
| Other Name | YOUNG DAE YOUNGDAE KIM |
| Credential | MD |
| Practice Address |
2220 Riverside Ave S Mail Stop 31700a Minneapolis MN 55454-1321 |
| Mailing Address |
8100 34th Ave S 21110q Bloomington MN 55425-1672 |
| Practice Telephone | 6173711600 |
| Practice Fax Number | 6123711732 |
| Mailing Telephone | 9628837961 |
| Mailing Fax Number | 9528835395 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 36587 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2220 RIVERSIDE AVE S MAIL STOP 31700A |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851361588 | Brian H Rank | Internal Medicine | 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454-1321 | 2006-01-25 |
| 1770999401 | Sarah Geraghty Langford | Nurse Practitioner | 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454-1321 | 2014-07-02 |
| 1760588958 | Kurt C Demel | Internal Medicine | 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454-1321 | 2006-09-15 |
| 1073624813 | Paula W Gabay | Dentist | 2220 Riverside Ave S, Minneapolis, MN 55454 | 2006-08-31 |
| 1932210796 | Michael R Bauer | Dentist | 2220 Riverside Ave S, Minneapolis, MN 55454 | 2006-08-31 |
| 1275594145 | Mary Margaret Conroy | Pediatrics | 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454-1321 | 2006-03-30 |
| 1811966153 | Karen Lynn Johnson | Obstetrics & Gynecology | 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454-1321 | 2006-03-17 |
| 1861469769 | Roxanne Michelson | Nurse Practitioner | 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454-1321 | 2006-03-01 |
| 1174590087 | Anjali Goel | Pediatrics | 2220 Riverside Ave S, Healthpartners Riverside Clinic - Ms 31700a, Minneapolis, MN 55454-1321 | 2006-03-01 |
| 1225004385 | Gretchen M Ibele | Internal Medicine | 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454-1321 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
| 1316454077 | Independent Medical Clinic Pa | Internal Medicine | 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 | 2018-01-03 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1841650306 | Megan Mcgovern | Internal Medicine | 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 | 2016-02-26 |
| 1700266079 | Jacob Wagner | Internal Medicine | D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 | 2015-06-02 |
| 1659750503 | Melissa Ann Plesac | Internal Medicine | 500 Harvard St Se # 741, Minneapolis, MN 55455 | 2015-05-26 |
| 1033503040 | Elizabeth Stanton Teter Aby | Internal Medicine | 406 Harvard St Se # Mmc36, Minneapolis, MN 55455-0362 | 2015-03-27 |
| 1780002592 | Annie M Jacobsen | Internal Medicine | 701 Park Avenue South--medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2014-03-31 |
| 1386066173 | Michael Usher | Internal Medicine | 420 Delaware Street, Se, Mmc 741, Division of General Internal Medicine, Minneapolis, MN 55455 | 2014-01-13 |
| 1356684609 | Anteneh Girma Zewde | Internal Medicine | 87 Orlin Ave Se, Minneapolis, MN 55414-3560 | 2013-04-04 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
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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.