DR. THOMAS KWANG SUNG KIM (NPI# 1790034395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790034395 |
| Entity Type | Individual |
| Full Name | DR. THOMAS KWANG SUNG KIM |
| Credential | M.D. |
| Practice Address |
6062 Buford Hwy Suite 114 Norcross GA 30071-2424 |
| Practice Telephone | 7705570203 |
| Practice Fax Number | 6783955453 |
| Mailing Telephone | 7705570203 |
| Mailing Fax Number | 6783955453 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2014-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 140875 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 1790034395 | 05 | |
| NY | NEW YORK STATE MEDICAL LISCENSE ID NUMBER | 140875 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950073 | Thomas Lee Kim | Counselor | 788 8th Ave Apt 1, San Francisco, CA 94118-3790 | 2020-10-23 |
| 1235593427 | Thomas Kim | Student in an Organized Health Care Education/Training Program | 165 Avenue A, Apt 4, New York, NY 10009-4509 | 2016-04-13 |
| 1932466208 | Thomas Kim | Radiology | 500 S Paulina St., Ground Floor Atrium 013, Chicago, IL 60612 | 2012-04-11 |
| 1922300383 | Thomas Hongseok Kim | Acupuncturist | 2017 W. Olympic Blvd., Los Angeles, CA 90006 | 2010-11-17 |
| 1285888610 | Thomas Sungwhan Kim | Dentist | 940 Creek View Ln, Redlands, CA 92373-6974 | 2008-11-12 |
| 1265699565 | Thomas T Kim | Dentist | 2225 North Citrus Blvd, Leesburg, FL 34748 | 2008-05-22 |
| 1720108533 | Thomas S. Kim | Dentist | 5900 Centreville Rd, Centreville, VA 20121-2425 | 2007-03-29 |
| 1831226505 | Thomas Kim | Chiropractor | 13256 Ne 20th St, Suite 17, Bellevue, WA 98005-2021 | 2007-02-28 |
| 1710025283 | Thomas H Kim | Optometrist | 355 State Road 436, Fern Park, FL 32730-2703 | 2007-02-04 |
| 1851441208 | Thomas J Kim | Obstetrics & Gynecology | 11500 W Olympic Blvd Ste 150, Los Angeles, CA 90064-1527 | 2007-01-10 |
| Street Address |
6062 BUFORD HWY SUITE 114 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538194808 | Tae Young Kim | Physical Therapist | 6062 Buford Hwy, Suite 117, Norcross, GA 30071-2424 | 2006-07-12 |
| 1588935589 | Ko-am Gwinnett Medical | General Practice | 6062 Buford Hwy, Suite 114, Norcross, GA 30071-2424 | 2012-01-23 |
| 1528368537 | Intermed PC | Internal Medicine | 6062 Buford Hwy, Suite 105-a, Norcross, GA 30071-2424 | 2010-10-25 |
| 1740516368 | United Medical Clinic Inc | Preventive Medicine | 6062 Buford Hwy, 117, Norcross, GA 30071-2424 | 2009-11-02 |
| 1649423690 | Seoul Medical and Pain Clinic Inc | Family Medicine | 6062 Buford Hwy, 120, Norcross, GA 30071-2424 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528509072 | Georgia Network Physicians, LLC | Specialist | 7742 Spalding Dr Ste 123, Norcross, GA 30092-4207 | 2017-03-16 |
| 1407305204 | Atlanta Joint Specialist LLC | Specialist | 6315 Spalding Dr Ste C, Norcross, GA 30092-4653 | 2016-09-22 |
| 1306212865 | Christina Barnard | Specialist | 5349 Sherwin Dr, Norcross, GA 30093-4972 | 2015-08-19 |
| 1083868939 | Susan Sutphen | Specialist | 6760 Jimmy Carter Blvd, Suite 150, Norcross, GA 30071-1278 | 2008-11-05 |
| 1265618797 | William W. Crone, Md, PC | Specialist | 3169 Holcomb Bridge Rd Ste 760, Norcross, GA 30071-1315 | 2008-01-15 |
| 1356523385 | Jibriallah Bermudas | Specialist | 1197 Beaver Ruin Rd Ste 102, Norcross, GA 30093-6802 | 2007-11-30 |
| 1912115486 | James Bowcock | Specialist | 4530 S Berkeley Rd, B, Norcross, GA 30071 | 2007-05-18 |
| 1912916537 | Edmund Robert Clement | Specialist | 3965 Holcomb Bridge Rd, Suite100, Norcross, GA 30092-2207 | 2006-08-05 |
| 1144216631 | Willie Y.w. Chen | Specialist | 5825 Buford Hwy, Ste 100, Norcross, GA 30071 | 2005-09-21 |
| 1003244765 | Dr. Kissing Ob & Gyn | Specialist | 5720 Buford Hwy, 102, Norcross, GA 30071-2577 | 2013-10-16 |
| Find all providers in NORCROSS | ||||
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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.