MR. DORO J KIM (NPI# 1861478471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861478471 |
| Entity Type | Individual |
| Full Name | MR. DORO J KIM |
| Credential | HS2 |
| Practice Address |
2401 Hawkins Point Rd Bldg. 28b Curtis Bay MD 21226-1797 |
| Practice Telephone | 4106367506 |
| Practice Fax Number | 4106367868 |
| Mailing Telephone | 4106367506 |
| Mailing Fax Number | 4106367868 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
2401 HAWKINS POINT RD BLDG. 28B |
| City | CURTIS BAY |
| State | MD |
| Zip Code | 21226-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600892 | Jacques Juan Velez-balay | Military Health Care Provider | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2005-12-15 |
| 1063959450 | Uscg Clinic Baltimore | Clinic/Center | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2017-01-24 |
| 1477635019 | Caost Guard Yard | Clinic/Center | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2006-10-20 |
| 1699711895 | Uscg Clinic | Clinic/Center | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2006-06-22 |
| 1972544773 | Uscg Clinic | Clinic/Center | 2401 Hawkins Point Rd, Bldg 28 B, Curtis Bay, MD 21226-1797 | 2006-06-10 |
| 1568448934 | Carolyn Marie Bolen | Dental Hygienist | 2401 Hawkins Point Rd, Bldg. 28b, Curtis Bay, MD 21226-1797 | 2005-12-19 |
| 1346226933 | Teresa Lorraine Padilla | Military Health Care Provider | 2401 Hawkins Point Rd, Building 28b, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| 1710963228 | Megan Norton | Military Health Care Provider | 2401 Hawkins Point Rd, Bldg. 28 B, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| 1174509780 | Aaron E Fulcher | Military Health Care Provider | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| 1649256157 | James Robert Riccelli | Military Health Care Provider | 2401 Hawkins Point Rd, Building 28b, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634238 | Stephen Michael Reinitz | Anesthesiology | 3001 South Hanover Street, Baltimore, MD 21226 | 2005-07-29 |
| 1033324777 | Ca Rushing & Associates | Community/Behavioral Health | 4710 Pennington Ave, 2 Fl Suite 3, Baltimore, MD 21226 | 2007-05-14 |
| 1538375001 | Takeey Lakeysha Wiggins | Spec/Tech, Pathology | 2401 Hawkins Point Road, Bldg 28b, Baltimore, MD 21226 | 2007-05-14 |
| 1275756009 | Bridget G Day | Technician, Other | 2401 Hawkins Point Road, Attn Health Services Division, Baltinore, MD 21226 | 2007-04-10 |
| 1972143212 | Danielle Emerson | Social Worker | 4710 Pennington Ave Fl 2, Curtis Bay, MD 21226-1405 | 2020-01-15 |
| 1669002317 | Sandra Lee Rosenbach | Social Worker | 4710 Pennington Ave Fl 2, Baltimore, MD 21226-1405 | 2020-01-22 |
| 1669930996 | Victorine Akwen Ngang | Nurse Practitioner | 4710 Pennington Ave, Curtis Bay, MD 21226-1405 | 2019-03-05 |
| 1982169975 | Alexandra Bradford | Social Worker | 4710 Pennington Ave, Baltimore, MD 21226-1405 | 2019-02-05 |
| 1861963498 | New Vision Behavioral Health Services Inc | Community/Behavioral Health | 4710 Pennington Ave, 2nd Fl, Suite 3, Curtis Bay, MD 21226-1405 | 2018-12-07 |
| 1487911889 | New Vision Behavioral Health Services Inc | Community/Behavioral Health | 4710 Pennington Ave, 2nd Floor, Suite 3, Baltimore, MD 21226-1405 | 2012-04-23 |
| Find all providers in zip 21226 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600892 | Jacques Juan Velez-balay | Military Health Care Provider | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2005-12-15 |
| 1346226933 | Teresa Lorraine Padilla | Military Health Care Provider | 2401 Hawkins Point Rd, Building 28b, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| 1710963228 | Megan Norton | Military Health Care Provider | 2401 Hawkins Point Rd, Bldg. 28 B, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| 1649256157 | James Robert Riccelli | Military Health Care Provider | 2401 Hawkins Point Rd, Building 28b, Curtis Bay, MD 21226-1797 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079604 | Jessica Yvonne Thomas | Military Health Care Provider | 64 Verdant Oak Aly, Clarksburg, MD 20871-3504 | 2020-10-02 |
| 1740801588 | Matildah A Mchatta | Military Health Care Provider | 19902 Sweetgum Cir Apt 42, Germantown, MD 20874-3770 | 2020-05-04 |
| 1851927859 | Samira Wrightson | Military Health Care Provider | 5701 Granby Rd, Derwood, MD 20855-1412 | 2020-03-21 |
| 1578199535 | Ebony Andrea Peterman | Military Health Care Provider | 4915 Hampden Ln Unit 103, Bethesda, MD 20814-3699 | 2020-03-20 |
| 1346723012 | Bivor Shrestha | Military Health Care Provider | 546 Salisbury Pl, Prince Frederick, MD 20678-3152 | 2018-09-10 |
| 1861974990 | Suzanna Hopkins | Military Health Care Provider | 4301 Jones Bridge Rd Rm 1040, Bethesda, MD 20814-4799 | 2018-09-05 |
| 1104346436 | Darrell J Fisher | Military Health Care Provider | 7903 Crows Nest Court, Laurel, MD 20707 | 2017-06-27 |
| 1346760634 | Laura Christine Barba-ruiz | Military Health Care Provider | 8901 Rockville Pike Internal Medicine, Bethesda, MD 20889-0001 | 2017-06-27 |
| 1477936235 | Anna Marie Pepe | Military Health Care Provider | 15601 Barnesville Rd, Boyds, MD 20841-9403 | 2015-06-29 |
| 1487984233 | Suzanne Marie Gillern | Military Health Care Provider | 10157 Sutherland Rd, Silver Spring, MD 20901-2421 | 2009-12-29 |
| Find all providers with the same taxonomy | ||||
| City | CURTIS BAY |
| Zip Code | 21226 |
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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.