HEESUN NINA KIM (NPI# 1902965452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902965452 |
| Entity Type | Individual |
| Full Name | HEESUN NINA KIM |
| Credential | MD |
| Practice Address |
705 Augusta Dr Bridgeville PA 15017-3437 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
MD423883 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD423883 | PA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
MD423883 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257354 | Heesun Kim | Pharmacist | 119 Daggett Dr, West Springfield, MA 01089-4672 | 2020-02-17 |
| Street Address |
705 AUGUSTA DR |
| City | BRIDGEVILLE |
| State | PA |
| Zip Code | 15017-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689082612 | Children's Community Pediatrics | Dentist | 205 Millers Run Road, 3rd Floor, Bridgeville, PA 15017 | 2014-07-22 |
| 1578973558 | Calm Waters LLC | Community/Behavioral Health | 1840 Mayview Road, Suite 204, Pittsburgh, PA 15017 | 2014-04-30 |
| 1962753418 | Jessica Lynn Torick | Counselor | 300 Old Pond Rd Ste 201, Bridgeville, PA 15017 | 2012-09-24 |
| 1588944664 | Peter E Schmidt | Case Manager/Care Coordinator | 316 Sation St. #100, Bridgeville, PA 15017 | 2011-08-22 |
| 1912202052 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 200 Villani Drive Ste 3003, Bridgeville, PA 15017 | 2011-01-21 |
| 1427358118 | Fredrick Andrew Faust | Physical Therapy Assistant | 3564washington Pike, Bridgeville, PA 15017 | 2010-10-27 |
| 1033260120 | Allan W. Clark | Psychiatry & Neurology | South Hills Recovery Project, 850 Boyce Road Suite 2, Bridgeville, PA 15017 | 2007-01-15 |
| 1306921564 | Natalie Marie Russo | Psychologist | 316 Station Street, Bridgeville, PA 15017 | 2006-10-26 |
| 1770676496 | Scott Brenden Stephens | Pharmacist | 500 Old Pond Road, Suite 506, Bridgeville, PA 15017 | 2006-10-02 |
| 1225045115 | Louis Emil Damich Jr. | Dentist | 212 Washington Ave, Bridgeville, PA 15017 | 2006-08-02 |
| Find all providers in zip 15017 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359014 | Kimberly Ann Nulph-laseck | Radiology | 65 Market St, Albion, PA 16401-1131 | 2020-08-31 |
| 1407478878 | Bridget Podbielski | Radiology | 1301 Summit Dr, Royersford, PA 19468-2873 | 2020-05-08 |
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1518522770 | Michael Anthony Branco | Radiology | 340 Wellslee Dr, Chambersburg, PA 17201-8289 | 2019-05-03 |
| 1700369535 | Tower Health Medical Group | Radiology | 301 S 7th Ave Ste 135, West Reading, PA 19611-1442 | 2018-09-07 |
| 1841784899 | Kyle Rives | Radiology | 200 Lothrop Street Upmc Presbyterian, South Tower 2nd Floor Suite 200, Pittsburgh, PA 15213 | 2018-06-21 |
| 1285128892 | Solomon Amemasor | Radiology | 200 Lothrop St Ste 200, Pittsburgh, PA 15213-2536 | 2018-06-18 |
| 1326545898 | Lehigh Valley Hospital | Radiology | 320 W Pumping Station Rd Ste 2, Quakertown, PA 18951-2345 | 2018-04-10 |
| 1376054874 | Irad Services, Inc. | Radiology | 1811 Golden Mile Hwy Ste B, Pittsburgh, PA 15239-2847 | 2017-10-24 |
| 1639689482 | Anna Maria Polizio | Radiology | 496 Cherry Ct, Pittsburgh, PA 15237-2608 | 2017-10-06 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEVILLE |
| Zip Code | 15017 |
Please comment or provide details below to improve the information on HEESUN NINA KIM.
| 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.