JIN SOO LIM


Address: 7001 Heritage Village Plz Ste 170, Gainesville, VA 20155
Phone: 7034682205

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
VA 010082889 05

Other Providers JIN LIM

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

Office Location

Street Address 7001 HERITAGE VILLAGE PLZ STE 170
City GAINESVILLE
State VA
Zip Code 20155

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1831518356 Alvorada Dentistry Dentist 13922 Estate Manor Drive, Gainesville, VA 20155 2014-04-11
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City GAINESVILLE
Zip Code 20155

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Dataset Information

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.

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