DR. GWANG OCH KIM (NPI# 1992706543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992706543 |
| Entity Type | Individual |
| Full Name | DR. GWANG OCH KIM |
| Credential | MD |
| Practice Address |
2819 Hayes Ave Suite #1 Sandusky OH 44870-5391 |
| Mailing Address |
1031 Pierce Street Suite D Sandusky OH 44870 |
| Practice Telephone | 4196278403 |
| Practice Fax Number | 4196271962 |
| Mailing Telephone | 4195575541 |
| Mailing Fax Number | 4195575542 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35 040705 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0364690 | 05 | |
| OH | RAILROAD MEDICARE | 390007082 | 01 |
| OH | ANTHEM BCBS | 000000129590 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972792273 | Gwang Moo Kim | Family Medicine | 695 S Harvard Blvd Fl 1, Los Angeles, CA 90005-2501 | 2007-10-23 |
| 1942373253 | Gwang M. Kim | Hospitalist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-16 |
| Street Address |
2819 HAYES AVE SUITE #1 |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-5391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386939205 | Gregory J Gerber, M.d. LLC | Physical Medicine & Rehabilitation | 2819 Hayes Ave, Suite 7, Sandusky, OH 44870-5391 | 2011-06-20 |
| 1003130683 | M D Cooper Inc. | Internal Medicine | 2819 Hayes Ave, Ste. 6, Sandusky, OH 44870-5391 | 2010-03-25 |
| 1821233263 | Sally L Holt | Audiologist-Hearing Aid Fitter | 2819 Hayes Ave, Suite 8, Sandusky, OH 44870-5391 | 2008-12-15 |
| 1336228022 | Gregory Joseph Gerber | Physical Medicine & Rehabilitation | 2819 Hayes Ave, Suite 7, Sandusky, OH 44870-5391 | 2006-11-03 |
| 1710910674 | Home Dialysis Services of Sandusky Inc. | Clinic/Center | 2819 Hayes Ave, Suite 2, Sandusky, OH 44870-5391 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| Find all providers in zip 44870 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1164622973 | Nephrology Partners of Sandusky Inc | Internal Medicine | 2819 S Hayes Ave, Suite 1, Sandusky, OH 44870 | 2007-07-19 |
| 1629077029 | Essam Bashir Elashi | Internal Medicine | 1221 Hayes Ave, Suite F, Sandusky, OH 44870-3345 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958500 | Cleveland Kidney Care, LLC | Internal Medicine | 5 Eleven Riv, Rocky River, OH 44116-1777 | 2020-07-02 |
| 1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
| 1699233221 | Ideal Vascular Centers LLC | Internal Medicine | 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 | 2019-03-02 |
| 1932677515 | Elizabeth Kidder Grames | Internal Medicine | 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 | 2018-11-13 |
| 1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
| 1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1144615220 | Mansur Pathan | Internal Medicine | 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 | 2015-04-05 |
| 1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
| 1457793150 | Vinay Mulkanoor | Internal Medicine | 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 | 2013-07-23 |
| Find all providers with the same taxonomy | ||||
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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.