MOON C KIM (NPI# 1861480253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861480253 |
| Entity Type | Individual |
| Full Name | MOON C KIM |
| Credential | M.D. |
| Practice Address |
8260 Atlee Rd Mechanicsville VA 23116-1844 |
| Mailing Address |
5855 Bremo Rd Suite 100 North Richmond VA 23226-1926 |
| Practice Telephone | 8047646000 |
| Mailing Telephone | 8042886258 |
| Mailing Fax Number | 8042829921 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 0101029623 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5721032 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174970917 | Moon Kim | Pharmacist | 58 Ardale Rd, Paramus, NJ 07652-2602 | 2016-05-23 |
| 1790112738 | Moon Kim | Pharmacist | 751 S Bascom Ave Bldg W, San Jose, CA 95128-2604 | 2013-10-05 |
| 1982696605 | Moon Y. Kim | Anesthesiology | 36 Hillcrest Dr, Upper Saddle River, NJ 07458-2004 | 2005-08-18 |
| 1588957732 | Moon J Kim | Physical Medicine & Rehabilitation | 6900 Georgia Ave Nw, Dept of Physical Medicine (3j), Washington, DC 20307-0003 | 2011-05-20 |
| 1679787766 | Moon Ju Kim | Nurse Practitioner | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2007-05-09 |
| 1386868578 | Moon Hyun Kim | Obstetrics & Gynecology | 101 The City Dr S, Orange, CA 92868-3201 | 2007-04-12 |
| 1861567026 | Moon Kyung Kim | Pharmacist | 1870 Lexington Ave, New York, NY 10029-2046 | 2006-11-22 |
| 1427069384 | Moon Ho Kim | Anesthesiology | 41 E Post Rd, White Plains, NY 10601-4607 | 2006-08-10 |
| 1114963881 | Moon Kim | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-21 |
| Street Address |
8260 ATLEE RD |
| City | MECHANICSVILLE |
| State | VA |
| Zip Code | 23116-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749493 | Robert Ingram Sprague | Pathology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2005-09-06 |
| 1093325144 | Kenley Conley | Clinical Nurse Specialist | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2020-08-04 |
| 1508480674 | Adrienne Brook Wass | Nurse Anesthetist, Certified Registered | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2020-06-03 |
| 1962021998 | Kayla Michelle Wiggins | Physician Assistant | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2020-04-09 |
| 1174159644 | Jamie Lynn Temple | Nurse Practitioner | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2020-03-17 |
| 1457986903 | Michael Warren Roper | Emergency Medicine | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2020-03-05 |
| 1316583040 | Hospitalist Medicine Physicians of Virginia - Richmond II, LLC | Internal Medicine | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2019-11-18 |
| 1548803976 | Amanda M Vance | Nurse Practitioner | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2019-10-17 |
| 1720639933 | Larissa Laso Rodriguez | Nurse Practitioner | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2019-09-28 |
| 1063078475 | Loree Beth Martin | Nurse Anesthetist, Certified Registered | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131664 | Orthovirginia, Inc | Physician Assistant | 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 | 2019-12-12 |
| 1558915702 | Rachelle Lamaris Smith | Counselor | 7611 Magazine Drive, Mechanicsville, VA 23116 | 2019-07-26 |
| 1467004952 | Katherine Romero-davis | Speech-Language Pathologist | Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 | 2019-07-15 |
| 1275092850 | Melissa Harp Harden | Occupational Therapist | 9366 Count Kristopher Dr, Mechanicsville, VA 23116 | 2019-03-13 |
| 1467969105 | Lynsey Marie Preisner | Physician Assistant | 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 | 2018-01-03 |
| 1912437526 | Kim S Hammonds | Nurse Practitioner | 8102 Braxton Court, Mechanicsville, VA 23116 | 2017-06-15 |
| 1023547528 | Gina Elysia Wurfel | Social Worker | 9126 Ashlar Pl, Mechanicsville, VA 23116 | 2017-06-08 |
| 1063945624 | Lisa Gervasoni | Occupational Therapist | 8254 Attlee Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1679006308 | Kerri Eggleston | Physical Therapist | 8226 Meadowbridge Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1659823466 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 | 2016-10-27 |
| Find all providers in zip 23116 | ||||
| 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 |
|---|---|---|---|---|
| 1649664236 | Darius Mobarakeh | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2015-03-23 |
| 1558387738 | Hanover Anesthesia Group,inc | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2006-07-14 |
| 1770518904 | Rukhsana Fatima Ali | Anesthesiology | 7016 Lee Park Rd, Mechanicsville, VA 23111-3682 | 2006-07-12 |
| 1962458786 | Matthew M Nelson | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2006-05-25 |
| 1689626806 | Shital K Patel | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2006-05-16 |
| 1932197332 | Conan M Mcdonough | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2005-10-10 |
| 1093703480 | Mark J Kapros | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2005-10-10 |
| 1487642971 | Carl J Boyd | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2005-10-10 |
| 1497743884 | Anthony P Manning | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2005-10-10 |
| 1477541878 | Paul C Shakin | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2005-10-10 |
| Find all providers in MECHANICSVILLE | ||||
| City | MECHANICSVILLE |
| Zip Code | 23116 |
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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.