DR. JORDAN L KIM (NPI# 1922461698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922461698 |
| Entity Type | Individual |
| Full Name | DR. JORDAN L KIM |
| Credential | M.D. |
| Practice Address |
320 E Main St Ste 200 Chattanooga TN 37408-1609 |
| Mailing Address |
1949 Gunbarrel Rd Ste 206 Chattanooga TN 37421-7133 |
| Practice Telephone | 4236432246 |
| Mailing Telephone | 4234954345 |
| Mailing Fax Number | 4234954934 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 57617 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 E 3rd St, Chattanooga, TN 374032241 | 4237782957 |
| Street Address |
320 E MAIN ST STE 200 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37408-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275008609 | Amber Smith | Nurse Practitioner | 320 E Main St Ste 200, Chattanooga, TN 37408-1609 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043766975 | Athletic Edge Physical Therapy | Clinic/Center | 1440 Adams St Ste A, Chattanooga, TN 37408 | 2016-08-31 |
| 1609287689 | Access 2 Rehab | Physical Therapist | 612 East 11th Street, Chattanooga, TN 37408 | 2014-05-13 |
| 1366873853 | Holli Richey | Social Worker | 320 E. Main St., Suite 200, Chattanooga, TN 37408 | 2013-12-09 |
| 1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
| 1932450756 | Tiffany Allen Hobbs | Registered Nurse | 1800 Rossville Avenue, Suite 114, Chattanooga, TN 37408 | 2012-09-20 |
| 1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
| 1538431192 | Brandon Tyler Whitworth | Physical Therapist | 1440 Adams St, Chattanooga, TN 37408 | 2012-01-29 |
| 1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
| 1093918385 | Jason L Reich | Counselor | 320 E Main Street, Suite 200, Chattanooga, TN 37408 | 2007-06-06 |
| 1063636785 | Carol Burns Stoney | Counselor | 3085 South Broad St, Suite J, Chattanooga, TN 37408 | 2007-04-12 |
| Find all providers in zip 37408 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871140475 | Family Medical Providers, Pllc | Family Medicine | 3496 Brainerd Rd, Chattanooga, TN 37411-3532 | 2019-08-20 |
| 1366940538 | Hamilton Family Medicine, Pllc | Family Medicine | 2290 Ogletree Ave, Chattanooga, TN 37421-8816 | 2018-01-23 |
| 1659752764 | Chen Wang | Family Medicine | 1848 Rossville Ave, Chattanooga, TN 37408-1932 | 2015-06-15 |
| 1376889618 | Robert Wright Montague Sr. | Family Medicine | 1121 Healing Springs Rd, Chattanooga, TN 37419-1043 | 2012-12-13 |
| 1205107935 | Azam H Sohi | Family Medicine | 2333mccallie Avenue, Chattanooga, TN 37404 | 2012-01-26 |
| 1477844553 | Philip Anthony Sutherland | Family Medicine | 1300 E 23rd St, Chattanooga, TN 37404-5701 | 2011-04-25 |
| 1851540694 | Christopher Timothy Moore | Family Medicine | 3914 Saint Elmo Ave, Chattanooga, TN 37409-1268 | 2008-09-17 |
| 1417106279 | Rapid Care Group Inc | Family Medicine | 711 Signal Mountain Rd Ste 169, Auite, Chattanooga, TN 37405-1823 | 2008-09-16 |
| 1366698755 | Lisa Fara | Family Medicine | 7030 Lee Hwy Ste 201, Chattanooga, TN 37421-6795 | 2008-08-18 |
| 1760645113 | Matthew Ray Hitchcock | Family Medicine | 3875 Hixson Pike, Chattanooga, TN 37415-3563 | 2008-07-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37408 |
Please comment or provide details below to improve the information on DR. JORDAN L 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.