JIN SOO LIM (NPI# 1841413408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841413408 |
Entity Type | Individual |
Full Name | JIN SOO LIM |
Credential | MD |
Practice Address |
7001 Heritage Village Plz Ste 170 Gainesville VA 20155 |
Mailing Address |
7001 Heritage Village Plz Suite 170 Gainesville VA 20155 |
Practice Telephone | 7034682205 |
Practice Fax Number | 7034682216 |
Mailing Telephone | 7034682205 |
Mailing Fax Number | 7034682216 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2018-05-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | 0101236105 | VA | Allopathic & Osteopathic Physicians |
Y | 207Y00000X | Otolaryngology | 010123615 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010082889 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386641678 | Jin Sung Lim | Otolaryngology | 161 Wadsworth Drive, Richmond, VA 23236-4500 | 2005-07-01 |
1205155876 | Jin T Lim | Nuclear Medicine | 1250 E Marshall St, Richmond, VA 23298 | 2010-05-21 |
Street Address |
7001 HERITAGE VILLAGE PLZ STE 170 |
City | GAINESVILLE |
State | VA |
Zip Code | 20155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
Find all providers in zip 20155 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497194823 | Michael Alan Brodt | Otolaryngology | 1345 Center Dr # M2-228, Gainesville, FL 32610-0264 | 2013-06-19 |
1366735912 | Joseph Mastin | Otolaryngology | University of Florida At Shands, Department of Otolaryngology 1600 Sw Archer Road M2-228, Gainesville, FL 32610-0001 | 2011-05-16 |
1295024339 | Deepa Danan | Otolaryngology | 1600 Sw Archer Rd #100264, Gainesville, FL 32610-0264 | 2011-03-29 |
1013153758 | Lawrence L Durisch Jr. | Otolaryngology | 91 Overlook Dr, Gainesville, GA 30506-1767 | 2008-12-31 |
1669625422 | Perry Albert Foote Jr. | Otolaryngology | 9325 Sw 41st Ln, Gainesville, FL 32608-4169 | 2008-10-24 |
1770787343 | Garrett Alan Hauptman | Otolaryngology | 7135 Nw 11th Place, Suite A, Gainesville, FL 32605 | 2007-06-14 |
1841492832 | Barry Skobel | Otolaryngology | 8819 Sw 74th Ave, Gainesville, FL 32608-9817 | 2007-06-03 |
1144394362 | Gainesville Otolaryngology Grp | Otolaryngology | 6821 Nw 11 Pl, Gainesville, FL 32605 | 2006-11-20 |
1871581140 | Jeremy Seth Melker | Otolaryngology | 7135 Nw 11th Pl, Suit Ea, Gainesville, FL 32605 | 2005-10-11 |
1326045048 | Allen P Butler | Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2005-07-07 |
Find all providers in GAINESVILLE |
City | GAINESVILLE |
Zip Code | 20155 |
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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.