DR. JONG H KIM (NPI# 1770532012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770532012 |
| Entity Type | Individual |
| Full Name | DR. JONG H KIM |
| Credential | MD |
| Practice Address |
6716 Nw 11th Place Ste 200 Gainesville FL 32605-4215 |
| Practice Telephone | 3523319729 |
| Practice Fax Number | 3523310136 |
| Mailing Telephone | 3523319729 |
| Mailing Fax Number | 3523310136 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME67846 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBSFL | 68744 | 01 |
| FL | BCBS FL | 68744 | 01 |
| FL | RAILROAD MEDICARE | P00316732 | 01 |
| FL | RAIL ROAD MEDICARE | P00323919 | 01 |
| FL | 377558500 | 05 | |
| FL | RAIL ROAD MEDICARE | P00316732 | 01 |
| FL | AVMED | 239216 | 01 |
| FL | AVMED | 270855 | 01 |
| FL | RAILROAD MEDICARE | P00323919 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922591106 | Jong Sin Kim | Acupuncturist | 14226 37th Ave Ste C, Flushing, NY 11354-4368 | 2018-06-12 |
| 1164773800 | Jong H Kim | Chiropractor | 2537 Pacific Coast Hwy Ste B, Torrance, CA 90505-7064 | 2012-09-20 |
| 1104079680 | Jong Kim | Dentist | 9073 W Post Rd, Las Vegas, NV 89148-2413 | 2008-10-29 |
| 1003075789 | Jong R Kim | Pharmacist | 7945 Grand Ave, Elmhurst, NY 11373-4129 | 2008-06-06 |
| 1720245772 | Jong Wook Kim | Dentist | 3636 Prince St Ste 304, Flushing, NY 11354 | 2008-05-19 |
| 1972772564 | Jong Min Kim | Dentist | 5809 Nicholson Lane, Suite#t-123, N. Bethesda, MD 20852 | 2008-02-27 |
| 1063623494 | Jong Ho Kim | Acupuncturist | 2140 W Olympic Blvd Ste 308, Los Angeles, CA 90006-2279 | 2007-05-25 |
| 1841329075 | Jong Kap Kim | Acupuncturist | 6431 Los Robles Ave Apt 1, Buena Park, CA 90621-3048 | 2007-03-05 |
| 1447315999 | Jong Gyu Kim | Dentist | 6725 Castor Ave, Philadelphia, PA 19149 | 2006-12-26 |
| 1013076942 | Jong Kee Kim | Acupuncturist | 9339 Foothill Blvd, Ste A, Rancho Cucamonga, CA 91730-3598 | 2006-12-06 |
| Street Address |
6716 NW 11TH PLACE STE 200 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374551 | Mark F Patlovich | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2005-05-24 |
| 1679923601 | Kelly G Coughlin | Physician Assistant | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2016-06-21 |
| 1235494170 | Robert Andrew Mackey | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2012-07-06 |
| 1073873949 | Michael L Gray | Physician Assistant | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2012-05-24 |
| 1013142983 | Rati N Patel | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2009-05-21 |
| 1336345248 | Wesley B Mann | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2007-06-26 |
| 1376746438 | Manish L Jani | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2007-06-07 |
| 1669482865 | Adam V Ping | Physician Assistant | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2006-08-09 |
| 1528098555 | Frank Anthony Fiola | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2006-07-04 |
| 1619923984 | Harry Kevin Meisenbach | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124654405 | Summerlin Imaging Center LLC | Radiology | 7520 W University Ave Ste D, Gainesville, FL 32607-7612 | 2020-03-18 |
| 1801382023 | Urgent Radiology Pllc | Radiology | 3502 Nw 18th Ave, Gainesville, FL 32605-3670 | 2018-07-11 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| 1326496571 | Charles Walter Snyder | Radiology | 2568 Sw 50th Blvd, Gainesville, FL 32608-3977 | 2016-05-27 |
| 1770953572 | Jose Manuel Quintero | Radiology | 1371 Se 23rd Ave, Gainesville, FL 32641-8798 | 2015-10-06 |
| 1891180634 | Eric William Pepin | Radiology | University of Florida Com, Gainesville, FL 32610-1004 | 2015-03-30 |
| 1841525045 | Naeima Beseikri | Radiology | 5175 Glenstone Ct, Gainesville, GA 30504-9043 | 2009-10-06 |
| 1992965701 | Heather L Carpenter | Radiology | 4343 W Newberry Rd Ste 5, Gainesville, FL 32607-2824 | 2008-06-16 |
| 1417046863 | Timothy P. Boyett | Radiology | 3330 Sw 81st St, Gainesville, FL 32608-9502 | 2006-10-12 |
| 1356439541 | Jeffrey N Mcintire | Radiology | 1250 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3865 | 2006-10-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
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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.