DR. SAMANG O KIM (NPI# 1750309142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750309142 |
| Entity Type | Individual |
| Full Name | DR. SAMANG O KIM |
| Practice Address |
6996 County Road 326 Palmyra MO 63461-3119 |
| Practice Telephone | 5737693710 |
| Practice Fax Number | 5737693753 |
| Mailing Telephone | 5737693710 |
| Mailing Fax Number | 5737693753 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 119789 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PART B | 785B713 | 01 |
| MO | 244759320 | 05 |
| Street Address |
6996 COUNTY ROAD 326 |
| City | PALMYRA |
| State | MO |
| Zip Code | 63461-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467767095 | Traci L. Kline | Registered Nurse | 6996 County Road 326, Palmyra, MO 63461-3119 | 2010-08-06 |
| 1548368004 | Blessing Corporate Services Inc | Family Medicine | 6996 County Road 326, Palmyra, MO 63461-3119 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538604533 | United Vitality Health | Nursing Care | 318 S. Main, Palmyra, MO 63461 | 2016-12-29 |
| 1881759926 | Kenneth W Leinweber | Chiropractor | 115 West Lafayette, Palmyra, MO 63461 | 2006-12-27 |
| 1861552408 | Palmyra R-i Schools | Local Education Agency (LEA) | 1723 South Main Street, Palmyra, MO 63461 | 2006-12-12 |
| 1407913932 | Marion Co. Nursing Home District | Skilled Nursing Facility | 1410 W Line St, Palmyra, MO 63461-0232 | 2007-01-03 |
| 1083831507 | Blankenship Residentail Care Center, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 209 Logan St, Palmyra, MO 63461-1336 | 2007-04-18 |
| 1487892253 | Tlc Sutter Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 209 Logan St, Palmyra, MO 63461-1336 | 2009-01-31 |
| 1033282587 | Randy E Steinbrueck | Chiropractor | 322 W Ross St, Palmyra, MO 63461-1420 | 2006-11-15 |
| 1063699726 | Steinbrueck Chiropractic Health Center, LLC | Chiropractor | 322 W Ross St, Palmyra, MO 63461-1420 | 2008-01-24 |
| 1538267554 | Laura Joanne Akerson | Chiropractor | 224 W Church St, Palmyra, MO 63461-1504 | 2006-09-21 |
| 1962624940 | Family Chiropractic Care, Inc. | Chiropractor | 224 W Church St, Palmyra, MO 63461-1504 | 2007-05-02 |
| Find all providers in zip 63461 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916239 | Lolita Feld | Family Medicine | 941 Park Drive, Palmyra, PA 17078 | 2019-08-08 |
| 1558767509 | Rugh Henderson I | Family Medicine | 945 Stauffers Church Rd, Palmyra, PA 17078-9607 | 2014-11-18 |
| 1548676364 | Ingrid Bakalorz Blubaugh | Family Medicine | 1400 S Forge Rd Ste 1, Palmyra, PA 17078-9519 | 2014-07-02 |
| 1700146099 | John Rexis Aguilar | Family Medicine | 58 Dogleg Rd, Palmyra, VA 22963-2312 | 2012-05-21 |
| 1194758227 | Adrian J Hohenwarter | Family Medicine | 745 South Grant Street, Palmyra, PA 17078-3215 | 2006-07-09 |
| 1356389498 | Floyd Memorial Hospital and Health Services | Family Medicine | 691 Main Street Ne, Palmyra Family Medicine, Palmyra, IN 47164-8894 | 2006-06-02 |
| 1225003841 | The Milton S Hershey Medical Center Physicians Group | Family Medicine | 941 Park Dr, Palmyra, PA 17078-3445 | 2006-02-17 |
| 1366414385 | Phyllis Blattstain Montellese | Family Medicine | 2599 Central Plains Rd, Palmyra, VA 22963 | 2006-02-03 |
| 1962481663 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 1811 S Main St, Palmyra, MO 63461-1961 | 2006-01-11 |
| 1003817313 | Rupert Carl Hartmann | Family Medicine | 943 Cinnaminson Ave, Palmyra, NJ 08065-1802 | 2005-08-09 |
| Find all providers in PALMYRA | ||||
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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.