DR. DOOHO BRIAN KIM (NPI# 1992844864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992844864 |
| Entity Type | Individual |
| Full Name | DR. DOOHO BRIAN KIM |
| Credential | MD |
| Practice Address |
1111 Professional Blvd Dalton GA 30720-2588 |
| Practice Telephone | 7052262020 |
| Practice Fax Number | 7062172876 |
| Mailing Telephone | 7052262020 |
| Mailing Fax Number | 7062172876 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD026175 | LA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 058533 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 587823919A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184154460 | Dooho Kim | Audiologist | 5528 Main St, Flushing, NY 11355-5044 | 2017-06-19 |
| Street Address |
1111 PROFESSIONAL BLVD |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929478 | William M Blackman Jr. | Ophthalmology | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
| 1821350471 | Earley Daze Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2012-06-11 |
| 1083652150 | Mcamis Anesthesia Consultants | Nurse Anesthetist, Certified Registered | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2006-06-02 |
| 1629030903 | Daniel James Mcbride | Optometrist | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2006-04-04 |
| 1952305922 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-08 |
| 1467456442 | Professional Eye Associates, Inc. | Clinic/Center | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-08 |
| 1629070990 | William L Barnwell | Ophthalmology | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
| 1720080088 | Timothy E O'boyle | Ophthalmology | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
| 1679575898 | Robi A Wingrove | Optometrist | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
| 1699777862 | Professional Eye Associates, Inc. | Ophthalmology | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929478 | William M Blackman Jr. | Ophthalmology | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
| 1629070990 | William L Barnwell | Ophthalmology | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
| 1720080088 | Timothy E O'boyle | Ophthalmology | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
| 1699777862 | Professional Eye Associates, Inc. | Ophthalmology | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1255974630 | Thomas Eye Group PC | Ophthalmology | 2240 Hamilton Creek Pkwy Ste 1100, Dacula, GA 30019-4515 | 2019-10-18 |
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1689038986 | Jonathan Shader | Ophthalmology | 1120 15th St # Ba-2720, Augusta, GA 30912-3983 | 2016-04-12 |
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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.