DR. SOON H KIMM (NPI# 1912985169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912985169 |
| Entity Type | Individual |
| Full Name | DR. SOON H KIMM |
| Credential | M.D. |
| Practice Address |
1306 N 175th St Suite 103 Shoreline WA 98133-5019 |
| Mailing Address |
1207 N 200th St Ste 215 Shoreline WA 98133-3213 |
| Practice Telephone | 2065427606 |
| Practice Fax Number | 2065339880 |
| Mailing Telephone | 2065424257 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00022272 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1112747 | 05 |
| Street Address |
1306 N 175TH ST SUITE 103 |
| City | SHORELINE |
| State | WA |
| Zip Code | 98133-5019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508188632 | Eric H Jensen Md Inc | Clinic/Center | 1306 N 175th St, Ste 111, Shoreline, WA 98133-5019 | 2010-02-16 |
| 1861578049 | Eric Hougaard Jensen | General Practice | 1306 N 175th St, Ste 11, Shoreline, WA 98133 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356517213 | Reena Eshwar | Internal Medicine | 19312 Kings Garden Dr N, Shoreline, WA 98133-3838 | 2008-05-01 |
| 1336225432 | Bong Sup Kim | Internal Medicine | 15208 Aurora Ave N, Shoreline, WA 98133-6124 | 2006-10-31 |
| 1164529038 | Cheryl R Jacobs | Internal Medicine | 15214 Aurora Ave N, Shoreline, WA 98133-6143 | 2006-09-20 |
| 1467448118 | John L Verrilli | Internal Medicine | 355 Nw Richmond Beach Rd, Shoreline, WA 98177-3101 | 2005-09-27 |
| 1902437403 | Rejens Medical Group, Pllc | Internal Medicine | 19312 Kings Garden Dr N, Shoreline, WA 98133 | 2020-02-03 |
| 1275042053 | Iora Health Washington Physicians, P.C. | Internal Medicine | 15214 Aurora Ave N, Shoreline, WA 98133-6143 | 2017-09-25 |
| 1851748578 | The Everett Clinic, Pllc | Internal Medicine | 1201 N 175th St, Shoreline, WA 98133-5064 | 2016-05-23 |
| 1710346986 | Bryant Thomas Karras | Internal Medicine | 1610 Ne 150th St, State of Washington, Dept of Health, Shoreline, WA 98155-7224 | 2016-02-16 |
| 1871997965 | Iora Senior Health Inc | Internal Medicine | 15214 Aurora Ave N, Shoreline, WA 98133-6143 | 2014-10-17 |
| 1043560261 | Pacific-fire Medical Services Pllc | Internal Medicine | 1207 N 200th St, Suite 217, Shoreline, WA 98133-3213 | 2012-09-14 |
| Find all providers in SHORELINE | ||||
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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.