DR. MISUNG KIM (NPI# 1801107271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801107271 |
| Entity Type | Individual |
| Full Name | DR. MISUNG KIM |
| Credential | M.D |
| Practice Address |
12303 Ne 130th Ln Suite 250 Kirkland WA 98034-3099 |
| Practice Telephone | 4258996414 |
| Practice Fax Number | 4258994066 |
| Mailing Telephone | 4258996414 |
| Mailing Fax Number | 4258994066 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD60599851 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
12303 NE 130TH LN SUITE 250 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436687 | Shannon Lee Bailey | Obstetrics & Gynecology | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3099 | 2005-06-13 |
| 1598238966 | Transform Weight Loss LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
| 1720551195 | Peter S. Billing Md LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
| 1043695190 | Amy Bartnikowski | Advanced Practice Midwife | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2015-07-29 |
| 1003290073 | Xuemei Su | Nurse Practitioner | 12303 Ne 130th Ln, Ste400, Kirkland, WA 98034-3099 | 2015-07-19 |
| 1770913055 | Jocelyn Halverson | Nurse Practitioner | 12303 Ne 130th Ln, Ms 26, Kirkland, WA 98034-3099 | 2013-11-22 |
| 1073940219 | Rolin Alan Pruyn | Physician Assistant | 12303 Ne 130th Ln, Suite 550, Kirkland, WA 98034-3099 | 2013-10-02 |
| 1205137213 | Jennifer Anne Hamblett Mohr | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 225, Kirkland, WA 98034-3099 | 2010-11-07 |
| 1447563267 | Lisa Marguerite Arnold | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 500, Kirkland, WA 98034-3099 | 2010-07-21 |
| 1497988505 | Quyen T Stevenson | Nurse Practitioner | 12303 Ne 130th Ln, Suite 400, Kirkland, WA 98034-3099 | 2009-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1255606489 | Lindsay Collins | Internal Medicine | 12303 Ne 130th Ln Ste 250, Kirkland, WA 98034-3072 | 2012-03-21 |
| 1699082909 | Aria Endocrinology | Internal Medicine | 12303 Ne 130th Lane, Suite 400, Evergreen Professional Center, Kirkland, WA 98034 | 2010-09-08 |
| 1942239413 | Edward Courtright La Cava | Internal Medicine | 13118 121st Way Ne, Suite 103, Kirkland, WA 98034-3004 | 2006-06-30 |
| 1497766190 | Evergreen Diabetes & Endocrinology Medical Group, Pllc | Internal Medicine | 13118 121st Way Ne, Suite 103, Kirkland, WA 98034-3004 | 2006-08-10 |
| 1619993995 | Farideh Eskandari | Internal Medicine | 12303 Ne 130th Ln, Suite 405, Kirkland, WA 98034-3099 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1497283287 | Shannon Casey | Internal Medicine | 2320 W Commodore Way Unit 100, Seattle, WA 98199-1287 | 2017-05-24 |
| 1295024727 | Qin Ouyang | Internal Medicine | 1708 S. Yakima Ave., Suite 205, Tacoma, WA 98405 | 2011-04-05 |
| 1699078642 | Mary Margaret Higley Carbone | Internal Medicine | 7318 Nw Ioka Dr, Silverdale, WA 98383-7359 | 2010-12-14 |
| 1881994028 | Swedish Edmonds | Internal Medicine | 21616 76 Ave W, Suite 212, Edmonds, WA 98026 | 2010-10-21 |
| 1922312479 | Elizabeth Hsu | Internal Medicine | 411 Fortuyn Road, Grand Coulee, WA 99133 | 2010-07-27 |
| 1386958882 | Kadapalakere Pathalingappa Manjun Reddy | Internal Medicine | 1708 Yakima Ave Ste 203, Tacoma, WA 98405-5300 | 2010-07-27 |
| 1679800932 | Arthi Thirumalai | Internal Medicine | 1959 Ne Pacific St Box 356426, Univ of Washington, Division of Endocrinology, Seattle, WA 98195-6426 | 2009-11-06 |
| 1578762985 | Jennifer L. Mcafee Md Ps | Internal Medicine | 1100 Larrabee Ave, Bellingham, WA 98225-7341 | 2007-07-16 |
| 1770799652 | Diane Rubin | Internal Medicine | 920 W Riverside Ave, Suite 200, Meps, Spokane, WA 99201-1010 | 2007-05-15 |
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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.