David Kim
Surgery (Plastic and Reconstructive Surgery)

Address: 3401 N Broad St # 3ppc388, Philadelphia, PA 19140
Phone: 2157077032

David Kim (NPI# 1235517996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1235517996
Entity Type Individual
Full Name David Kim
Credential M.D.
Gender Male
Practice Address 3401 N Broad St # 3ppc388
Philadelphia
PA 19140
Practice Telephone 2157077032
Mailing Address 3401 N Broad St # 3ppc388
Philadelphia
PA 19140-5103
Mailing Telephone 2157077032
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2015-05-14
Last Update Date 2020-06-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 208600000X Surgery Allopathic & Osteopathic Physicians LP03325 RI
Yes 2086S0122X Surgery · Plastic and Reconstructive Surgery Allopathic & Osteopathic Physicians MT221196 PA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1245836105 David Kim Physical Therapist 8 Lackawanna Plz Ste A, Montclair, NJ 07042-3604 2020-12-07
1417559816 David Kim Behavior Technician 384 Nw 118th Ave, Coral Springs, FL 33071-4015 2020-11-10
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1578106852 David H Kim Dentist 2058 Kings Cross Ln, Cordova, TN 38016-5176 2019-10-19
1194378877 David S Kim Dentist 121 Tatham Rd, Bensalem, PA 19020-1641 2019-07-22
1790341691 David Kim Physician Assistant 993f Johnson Ferry Rd Ste 210, Atlanta, GA 30342-1602 2019-05-15
1316407539 David Kim Behavior Technician 6056 Delaware Park Ct, Eastvale, CA 92880-0984 2019-03-22
1104398593 David Solomon Kim Acupuncturist 3520 147th St Ph 1f, Flushing, NY 11354-3773 2018-12-22
1942738935 David Kim Social Worker 45 Douglass St # 3, Brooklyn, NY 11231-4716 2017-06-02
1841673936 David Hoyeon Kim Dentist 1234 Devonshire Ln, La Habra, CA 90631-7421 2015-07-07
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487029971 Philip Lipkin Surgery 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 2015-12-09
1972105971 Jefferson University Physicians Surgery 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 2020-11-13
1396276077 Michael Alan Lanni Surgery 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2017-03-23
1851742894 Michael G. Tecce Surgery 3400 Spruce Street, Philadelphia, PA 19104 2016-06-30
1467863449 Jason Wink Surgery 3400 Spruce St, 10 Penn Tower, Philadelphia, PA 19104-4238 2014-05-13
1669818753 Valeriy Shubinets Surgery 3400 Spruce St, Philadelphia, PA 19104-4206 2013-05-15
1821381153 Lin Lin Gao Surgery 3400 Spruce St, Philadelphia, PA 19104-4206 2011-05-19
1316171408 John Gregory Fernandez Surgery 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 2009-05-05
1649496340 Brooke Alissa Burkey Surgery 3601 A St, Suite 2204, Philadelphia, PA 19134-1043 2007-04-18
1386770428 Ted Eisenberg Surgery 2375 Woodward St, 102, Philadelphia, PA 19115-5120 2007-02-25
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Office Location

Street Address 3401 N BROAD ST # 3PPC388
City PHILADELPHIA
State PA
Zip Code 19140

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Competitor

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City PHILADELPHIA
Zip Code 19140

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Dataset Information

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.