CHOONG R. KIM, M.D.,P.S. (NPI# 1952409922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952409922 |
| Entity Type | Organization |
| Organization Name | CHOONG R. KIM, M.D.,P.S. |
| Practice Address |
1615 Delaware St Longview WA 98632-2310 |
| Mailing Address |
Po Box 2819 Longview WA 98632-8796 |
| Practice Telephone | 3606364841 |
| Practice Fax Number | 3606366744 |
| Mailing Telephone | 3606364841 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | CHOONG R. KIM (PRESIDENT) |
| Authorized Official Telephone | 3606364841 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1082841 | 05 | |
| OR | 061288 | 05 |
| Street Address |
1615 DELAWARE ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264252 | Lan N Pham | Internal Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2005-06-09 |
| 1629681127 | Cole Taylor Dawson | Pharmacist | 1615 Delaware St, Longview, WA 98632-2367 | 2020-08-25 |
| 1760008908 | Tanya Neely | Registered Nurse | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-23 |
| 1376167254 | Gareth John Penta | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-06-05 |
| 1982227013 | Crystal Ann Florek | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-05-22 |
| 1194356600 | Tiffany Terry | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-02-03 |
| 1285274167 | Jason Loren Whitney | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2020-01-08 |
| 1851857676 | Garrett Michael Alan Harrison | Case Manager/Care Coordinator | 1615 Delaware St, Longview, WA 98632-2367 | 2019-02-17 |
| 1184192189 | Katie Johnson | Clinical Nurse Specialist | 1615 Delaware St, Longview, WA 98632-2367 | 2018-11-07 |
| 1750864187 | Brina Rayne Moh | Physician Assistant | 1615 Delaware St, Longview, WA 98632-2367 | 2018-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144554577 | Joseph Charles Hodges II | Radiology | 1300 N 4th St, Longview, TX 75601-4717 | 2009-10-02 |
| 1023292950 | Choong R Kim | Radiology | 1615 Delaware St, Longview, WA 98632-2310 | 2007-12-27 |
| 1205878345 | Bernard William Taylor Jr. | Radiology | 1300 N 4th St, Longview, TX 75601-4717 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669829289 | Rosanna Hoi Lam Yeung | Radiology | 12040 Ne 128th St # Ms -63, Kirkland, WA 98034 | 2016-05-24 |
| 1508251000 | Anthony Hoai-nam Pham | Radiology | 19917 7th Ave Ne Ste 100, Poulsbo, WA 98370-6555 | 2015-04-01 |
| 1841603479 | Sherry Zhao | Radiology | 7350 W Deschutes Ave Ste A, Kennewick, WA 99336 | 2014-06-11 |
| 1467877670 | John Paul Lytle Jr. | Radiology | 6729 204th Dr. Ne, Redmond, WA 98053 | 2014-02-25 |
| 1962824219 | The Polyclinic | Radiology | 1225 Madison St, Seattle, WA 98104-1336 | 2014-01-06 |
| 1720356090 | Herbert Carl Berry | Radiology | 65 E. Roanoke St., Seattle, WA 98102 | 2011-12-01 |
| 1609175660 | Legacy Salmon Creek Hospital | Radiology | 2121 Ne 139th St Ste 100, Vancouver, WA 98686-2316 | 2011-03-16 |
| 1861794992 | Thomas Ward Griffin | Radiology | 3620 E Prospect St, Seattle, WA 98112-4440 | 2010-11-22 |
| 1407170467 | Aaron Shingo Kusano | Radiology | 1959 Ne Pacific St. Box 356043, University of Washington Department of Radiation Oncolo, Seattle, WA 98195 | 2010-03-19 |
| 1184866527 | Justin William Suszko | Radiology | 4525 3rd Ave Se Ste 100, Lacey, WA 98503-1010 | 2009-03-31 |
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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.