S BRIAN KIM (NPI# 1922041839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922041839 |
Entity Type | Individual |
Full Name | S BRIAN KIM |
Credential | MD |
Practice Address |
1540 E Evergreen St Springfield MO 65803-4300 |
Practice Telephone | 4178232900 |
Practice Fax Number | 4178862774 |
Mailing Telephone | 4178232900 |
Mailing Fax Number | 4178862774 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2019-01-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
R5J91 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 039014838 | 05 | |
RR MEDICARE | P00361138 | 01 | |
MO | 202657011 | 05 | |
BLUE CROSS/BLUE SHIELD | 107067 | 01 | |
AR | RR MEDICARE | P00958203 | 01 |
MO | 1922041839 | 05 | |
AR | 188306001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760599807 | S John Kim | Psychiatry & Neurology | 10555 W Parnell Ave, Hales Corners, WI 53130-2000 | 2006-08-24 |
1366681421 | S Theresa Kim | General Practice | 5875 N Lincoln Ave, Suite 131, Chicago, IL 60659-4672 | 2009-02-12 |
1700981388 | S Paul Kim | Anesthesiology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-09-14 |
Street Address |
1540 E EVERGREEN ST |
City | SPRINGFIELD |
State | MO |
Zip Code | 65803-4300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558366724 | James L Godard | Internal Medicine | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2005-06-15 |
1801425319 | Jamie M Sims | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2020-04-06 |
1841791027 | Kevin Michael Stokes | Physician Assistant | 1540 E Evergreen St, Springfield, MO 65803 | 2018-02-23 |
1225542863 | Charity Hall | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-11-17 |
1184135113 | Amberlyn Casie Logan | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-10-17 |
1083130363 | Alyson Rose | Physical Therapy Assistant | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-08-17 |
1548705189 | Ashden Vogler-blake | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-01-05 |
1932518768 | Chance Martin | Physical Therapist | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2014-08-06 |
1427465194 | Carol D Curless | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2014-07-15 |
1326381237 | Lisa Marie Anderson | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2013-03-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
Find all providers in zip 65803 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1386067742 | Rashid Nayyar, M.d. PC | Internal Medicine | 6247 Rolling Spring Ct, Springfield, VA 22152-2242 | 2014-01-21 |
1982984142 | Frank Nelson Turner | Internal Medicine | 2260 Marcola Rd, Springfield, OR 97477-2594 | 2011-08-19 |
1447404561 | Pulmonary Specialists of The Ozarks, LLC | Internal Medicine | 2733 E Battlefield Rd, Springfield, MO 65804 | 2008-11-17 |
1023027281 | Walter S. Trombold | Internal Medicine | 3850 S National Ave Ste 510, Springfield, MO 65807-5292 | 2006-08-05 |
1871532283 | Edward Gwin | Internal Medicine | 1342 E Primrose St, Springfield, MO 65804-4279 | 2006-06-05 |
1801834395 | Thirupaimaruth K Raman | Internal Medicine | 222 Carew Street, 2nd Floor, Springfield, MA 01104-4103 | 2006-06-04 |
1629070693 | Brent D Bergen | Internal Medicine | 3800 S National Ave Ste 510, Springfield, MO 65807-5284 | 2005-08-10 |
1871081166 | Michele L Potter | Internal Medicine | 221 Northcrest Dr, Springfield, TN 37172-3962 | 2018-04-23 |
1316477508 | Muath Alsharif | Internal Medicine | 751 N Rutledge St Ste 2100, Springfield, IL 62702-4968 | 2017-06-19 |
1730610650 | Hampden Pulmonary and Sleep Medicine LLC | Internal Medicine | 2150 Main St, Springfield, MA 01104-3566 | 2017-03-22 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65803 |
Please comment or provide details below to improve the information on S BRIAN 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.