TAEHO KIM (NPI# 1942305024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942305024 |
| Entity Type | Individual |
| Full Name | TAEHO KIM |
| Credential | MD |
| Practice Address |
301 Maple Ave W 110 Vienna VA 22180-4308 |
| Practice Telephone | 7032555530 |
| Practice Fax Number | 7032555560 |
| Mailing Telephone | 7032555530 |
| Mailing Fax Number | 7032555560 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101041301 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751775 | Taeho Kim | Orthopaedic Surgery | 2350 Country Hills Dr Ste B, Antioch, CA 94509-7436 | 2017-07-06 |
| 1780238626 | Taeho Kim | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2019-07-29 |
| 1700045986 | Taeho Kim | Pharmacist | 10 S Bedford Rd, Mount Kisco, NY 10549-3408 | 2008-06-03 |
| Street Address |
301 MAPLE AVE W 110 |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821084872 | Dr N Hines & T Fahy | Clinic/Center | 301 Maple Ave W, Building 3 Ste F6, Vienna, VA 22180-4301 | 2005-09-26 |
| 1528415809 | Vienna Periodontics | Clinic/Center | 301 Maple Ave W, #440, Vienna, VA 22180-4301 | 2016-05-17 |
| 1689073678 | Alm Health Services LLC | Home Health | 301 Maple Ave W, 490, Vienna, VA 22180-4301 | 2014-08-15 |
| 1962790261 | Aj Shannon Dmd Plc | Dentist | 301 Maple Ave W, Suite 200, Vienna, VA 22180-4301 | 2011-07-20 |
| 1467756015 | Anita D Kloss | Chiropractor | 301 Maple Ave W, Vienna, VA 22180-4301 | 2010-12-22 |
| 1316135403 | Kavitha Felix - Johnson | Dietitian, Registered | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4301 | 2007-10-15 |
| 1245421064 | Brandon Ronald Lemuel | Chiropractor | 301 Maple Ave W, Ste 515, Vienna, VA 22180-4301 | 2007-08-06 |
| 1508065392 | Uma Kumarappan | Psychiatry & Neurology | 301 Maple Ave W, # 230, Vienna, VA 22180-4308 | 2007-07-12 |
| 1194935601 | Michael Vincent Farr | Dentist | 301 Maple Ave W, Suite A, Vienna, VA 22180-4308 | 2007-05-23 |
| 1982825097 | Andrew Jason Shannon | Dentist | 301 Maple Ave W, Suite 200, Vienna, VA 22180-4308 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| 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 |
|---|---|---|---|---|
| 1316551237 | Pinnacle Healthcare Services, LLC | Internal Medicine | 8000 Towers Crescent Dr Ste 1350, Vienna, VA 22182-6236 | 2020-09-08 |
| 1154664522 | Stanka Kukich | Internal Medicine | 403 Council Dr Ne, Vienna, VA 22180-4740 | 2013-04-03 |
| 1346512605 | Scott Gerrish | Internal Medicine | 112 Pleasant St Sw, Vienna, VA 22180-5609 | 2012-02-02 |
| 1982843421 | Annu Narayanan Pullarkat, Pllc | Internal Medicine | 2188 Amber Meadows Dr, Vienna, VA 22182-5320 | 2009-02-06 |
| 1548433766 | Xiaochun Zhang Inc. | Internal Medicine | 2102 Gallows Rd # D, Vienna, VA 22182-3960 | 2008-04-09 |
| 1942488978 | Alfonso Chy David | Internal Medicine | 6665 State Route 146 E, Vienna, IL 62995-3122 | 2008-01-31 |
| 1063626554 | Thomas Constantine Mandes | Internal Medicine | 370 W Maple Ave, Suite 2 & 3, Vienna, VA 22180 | 2007-05-10 |
| 1457477853 | Johnny Wu | Internal Medicine | 1593 Spring Hill Rd Ste 600, Vienna, VA 22182-2252 | 2007-03-21 |
| 1194854877 | Steven Parker Simmons | Internal Medicine | 360 Maple Ave W Ste E, Vienna, VA 22180-5614 | 2007-03-05 |
| 1295860732 | Ali Mirebrahimi-tafreshi | Internal Medicine | 2108 Arrowleaf Dr, Vienna, VA 22182-5192 | 2007-02-23 |
| Find all providers in VIENNA | ||||
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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.