JAMES KIM (NPI# 1972036341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972036341 |
| Entity Type | Individual |
| Full Name | JAMES KIM |
| Practice Address |
3535 Southern Boulevard Kettering OH 45429 |
| Mailing Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Practice Telephone | 9373846800 |
| Practice Fax Number | 9373846938 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1093200784 | James Chan Kim | Pharmacist | 5734 256th St Fl 2nd, Little Neck, NY 11362-2141 | 2018-06-26 |
| 1053716589 | James Kim | Acupuncturist | 5 Laketrail Cv, Buena Park, CA 90621-1660 | 2014-10-27 |
| 1093135931 | James Moo Kim | Student in an Organized Health Care Education/Training Program | 9 Blueberry Cir, Andover, MA 01810-5026 | 2014-04-18 |
| 1801149802 | James Kyo Kim | Internal Medicine | 4950 Sunset Ave, 6th Floor, Los Angeles, CA 90027-4156 | 2012-10-16 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1538455803 | James Chang Ho Kim | Optometrist | 240 Graham Ave, Brooklyn, NY 11206-1204 | 2011-06-24 |
| 1336378371 | James T Kim | Internal Medicine | 502 Euclid Ave Ste 104, National City, CA 91950 | 2009-07-13 |
| Street Address |
3535 SOUTHERN BOULEVARD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134659568 | Sivjot Binepal | Internal Medicine | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| 1841559119 | Susan Hamann | Nursing Care | 8650 Governors Hill, 180, Mason, OH 45429 | 2012-05-08 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720594088 | Mary Ellis | Student in an Organized Health Care Education/Training Program | 3533 Southern Blvd Ste 5200, Kettering, OH 45429-1275 | 2017-12-22 |
| 1184157810 | Jon Curtis Martin | Student in an Organized Health Care Education/Training Program | 142 Balmoral Dr, Kettering, OH 45429-1710 | 2017-04-10 |
| 1285082784 | Joshua Dalzell | Student in an Organized Health Care Education/Training Program | 2629 Colonial Ave, Kettering, OH 45419-2339 | 2016-05-25 |
| 1043624935 | Douglas K Armour | Student in an Organized Health Care Education/Training Program | 608 Broad Blvd, Kettering, OH 45419-1901 | 2014-06-18 |
| 1356661466 | Gabrielle Willey | Student in an Organized Health Care Education/Training Program | 3535 Southern Blvd Ste 210, Kettering, OH 45429-1221 | 2010-06-11 |
| 1750614228 | Charles Jeremy Mears | Student in an Organized Health Care Education/Training Program | Wsu Emergency Medicine, 3525 Southern Blvd, Kettering, OH 45429 | 2009-09-15 |
| 1023288008 | Missole Cadet-patterson | Student in an Organized Health Care Education/Training Program | 1502 Tabor Ave, Kettering, OH 45420-2137 | 2008-03-06 |
| 1174704555 | Lauren Marie Cimperman | Student in an Organized Health Care Education/Training Program | 2046 Richfield Dr, Kettering, OH 45420-2012 | 2007-11-14 |
| 1558990895 | Paxton James Prather | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-04-08 |
| 1801425889 | Jacob John Patz | Student in an Organized Health Care Education/Training Program | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2020-04-02 |
| Find all providers in KETTERING | ||||
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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.