DR. GARY KIM (NPI# 1841556552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841556552 |
| Entity Type | Individual |
| Full Name | DR. GARY KIM |
| Credential | M.D. |
| Practice Address |
3325 N Interstate Ave Portland OR 97227-1020 |
| Mailing Address |
111 E 210th St Bronx NY 10467-2401 |
| Practice Telephone | 5038132000 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD183606 | OR | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD183606 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841531761 | Gary Kim | Military Health Care Provider | 201 Glenwood Cir Apt 33b, Monterey, CA 93940-6738 | 2013-03-04 |
| 1497835052 | Gary O Kim | Internal Medicine | 612 W Duarte Rd Ste 501, Arcadia, CA 91007-9206 | 2006-10-17 |
| 1306820667 | Gary Sang Kim | Internal Medicine | 15950 Sw Millikan Way, Beaverton, OR 97006-5170 | 2005-12-01 |
| Street Address |
3325 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407807720 | Cheryl A Miranda | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2006-05-12 |
| 1003367657 | Kaiser Foundation Health Plan of The Northwest | General Practice | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2016-10-19 |
| 1568814952 | Lindsey Moser | Pharmacist | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2016-07-08 |
| 1821449919 | Taben Main | Pharmacist | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2016-06-29 |
| 1457741068 | Audrey Nguyen | Pharmacist | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2015-02-03 |
| 1245665769 | Abbey Shoultz | Social Worker | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2013-09-04 |
| 1801153887 | Erin Schalles | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2012-04-16 |
| 1215232871 | Marian J Morse | Genetic Counselor, MS | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2011-01-12 |
| 1245559129 | Lindsay Dawn Craft | Counselor | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2010-05-18 |
| 1174854467 | Deidre Nicole Davis | Social Worker | 3325 N Interstate Ave, Portland, OR 97227-1020 | 2010-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821451493 | Curtis Bradford | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Sjh-2, Portland, OR 97239-3098 | 2016-03-31 |
| 1457766040 | Edward Kent IIi | Anesthesiology | 3303 Sw Bond Ave Fl 15, Portland, OR 97239-4501 | 2014-06-23 |
| 1235486572 | Dolores Anne Leon | Anesthesiology | 2221 S.w. First Avenue, #2322, Portland, OR 97201-5023 | 2012-08-06 |
| 1447403605 | Leelee Khanh-hoa Thames | Anesthesiology | 3601 Sw River Pkwy Unit 800, Portland, OR 97239-4555 | 2008-10-30 |
| 1598942815 | Esther Sung | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Uhs-2, Portland, OR 97239-3011 | 2008-01-29 |
| 1689871253 | Mark D Murrow | Anesthesiology | 2801 N Gantenbein Ave., Suite 4239, Legacy Emanuel Hospital & Health Center, Portland, OR 97227 | 2007-06-28 |
| 1477600260 | Mark Enker | Anesthesiology | 3181 Sw Sam Jackson Park Rd # 2, Portland, OR 97239-3011 | 2007-01-04 |
| 1265441638 | Robert D Wilson | Anesthesiology | 10379 Se Crescent Ridge Dr, Portland, OR 97086-9100 | 2006-08-05 |
| 1043227903 | Joshua B Siegel | Anesthesiology | 2307 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-08-02 |
| 1295749695 | David Gissen | Anesthesiology | 2846 Nw Ariel Ter, Portland, OR 97210-3119 | 2006-07-28 |
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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.