KYONGCHOL KIM (NPI# 1740265677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740265677 |
| Entity Type | Individual |
| Full Name | KYONGCHOL KIM |
| Other Name | KYONGCHOL KIM |
| Credential | MD |
| Practice Address |
2333 Mccallie Ave Chattanooga TN 37404-3258 |
| Practice Telephone | 4234931595 |
| Practice Fax Number | 4234936735 |
| Mailing Telephone | 4234931595 |
| Mailing Fax Number | 4234936735 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
43029 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
2333 MCCALLIE AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095751 | Theodore A Feintuch | Pathology | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2005-10-06 |
| 1275162117 | Brittany Ambers | Registered Nurse | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2020-04-03 |
| 1841795804 | Katie Campos | Registered Nurse | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2018-03-29 |
| 1285132100 | Matt Crane | Anesthesiology | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2018-01-25 |
| 1740706811 | Ashley Nind Wright | Nurse Practitioner | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2017-08-20 |
| 1306370085 | Kelly Neufeld | Nurse Practitioner | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2017-04-19 |
| 1982140117 | Paul Habegger | Nurse Anesthetist, Certified Registered | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2017-01-11 |
| 1154777563 | Lindsay Crowe | Registered Nurse | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2016-05-05 |
| 1255794053 | Jamie Scott | Emergency Medicine | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2016-03-30 |
| 1588078034 | Shirley Lizcano Sharp | Emergency Medicine | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2014-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1437240504 | Lorna May Birch | Internal Medicine | 425 Cumberland Street, Suite 110, Chattanooga, TN 37404 | 2006-09-27 |
| 1386674679 | Lotika Pandit | Internal Medicine | 6073 E Brainerd Rd, Chattanooga, TN 37421-3909 | 2006-07-03 |
| 1669468047 | Larry D Howard | Internal Medicine | 7405 Shallowford Rd, Suite 280, Chattanooga, TN 37421-2661 | 2005-09-21 |
| 1497957914 | Malissa Gobbell Talbert | Internal Medicine | 1100 E 3rd St, Utfp, Chattanooga, TN 37403-2241 | 2007-06-05 |
| 1700096161 | Saifullah Khan Afridi | Internal Medicine | 1100 E 3rd St, Chattanooga, TN 37403-2201 | 2007-05-23 |
| 1053539684 | Monica Beri | Internal Medicine | 425 Cumberland St, Chattanooga, TN 37404-1909 | 2007-04-20 |
| 1720191604 | Terry Ann Melvin | Internal Medicine | 5616 Brainerd Rd, Suite 108, Chattanooga, TN 37411-5374 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564863 | Matter Health of Alabama LLC | Internal Medicine | 645 Grassmere Park, Nashville, TN 37211-3659 | 2020-10-08 |
| 1558751339 | America's Telemd LLC | Internal Medicine | 5606 Cloverland Dr, Unit 110, Brentwood, TN 37027-4876 | 2015-01-30 |
| 1588698518 | Connie J Holladay | Internal Medicine | 438 E. Vann Road, Suite 100, Greeneville, TN 37743-7202 | 2006-07-10 |
| 1992741482 | Amisub (sfh) Inc. | Internal Medicine | 5929 Park Ave, Memphis, TN 38119-5150 | 2006-06-21 |
| 1134162134 | Stephen J D'amico | Internal Medicine | 4200 Murfreesboro Pike, Antioch, TN 37013-2789 | 2006-06-14 |
| 1861430399 | Robert M Hollister | Internal Medicine | 316 Battle Ave, Franklin, TN 37064-3519 | 2006-06-04 |
| 1386698843 | Larry Burton Hudgins | Internal Medicine | 715 Rambling Rd, Johnson City, TN 37604-2425 | 2006-05-20 |
| 1649221938 | Purihin Clinic-p. C. | Internal Medicine | 3535 Chere Carol Rd, Humboldt, TN 38343-3634 | 2006-05-12 |
| 1023097177 | Allen Stephen Uhlik | Internal Medicine | 144 Medical Center Dr, Copperhill, TN 37317-5000 | 2006-01-16 |
| 1669470316 | Robert Burns | Internal Medicine | 2714 Union Avenue Extended, Suite 150, Memphis, TN 38112-4436 | 2005-07-07 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.