Dr. Tony Jaewon Kim
Student in an Organized Health Care Education/Training Program

Address: 1 Nassau St Apt 906, Boston, MA 02111-1554
Phone: 5854063517

Dr. Tony Jaewon Kim (NPI# 1245853753) 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) 1245853753
Entity Type Individual
Full Name Dr. Tony Jaewon Kim
Credential DMD
Gender Male
Practice Address 1 Nassau St Apt 906
Boston
MA 02111-1554
Practice Telephone 5854063517
Mailing Address 1 Nassau St Apt 906
Boston
MA 02111-1554
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-05-19
Last Update Date 2020-05-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Providers with the same name

NPI Name Taxonomy Address Enumeration
1124296397 Tony S Kim Dentist 2415 Beaver Ruin Rd, Suite A, Norcross, GA 30071-4175 2008-02-11
1952304016 Tony Kyungsoo Kim Chiropractor 2100 Market St, Suite 100, Charlestown, IN 47111-9535 2005-05-23
1093344384 Tony Kim Day Training/Habilitation Specialist 7521 Brayton Dr, Anchorage, AK 99507-2667 2020-04-07
1891282885 Tony Kim Radiology 1200 Everett Dr, Oklahoma City, OK 73104 2018-04-16
1952748022 Tony Kim Dentist 2539 Judson Rd, Longview, TX 75605 2013-05-30
1700936036 Tony Guest Kim Anesthesiology 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 2007-01-11
1558384115 Tony Kim Radiology 120 N Oak St, Hinsdale, IL 60521-3829 2006-07-25
1477599777 Tony D. H. Kim Podiatrist 616 N Chelan Ave, Wenatchee, WA 98801-2025 2006-06-22
1609866573 Tony S Kim Emergency Medicine 1400 E Boulder St, Colorado Springs, CO 80909 2005-10-24

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1336762541 Deanna Toner Student in an Organized Health Care Education/Training Program 15 Parkman St # St812, Boston, MA 02114-3117 2020-05-21
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1912520479 Joshua Thomas Fox-fuller Student in an Organized Health Care Education/Training Program 900 Commonwealth Ave, 2nd Floor, Boston, MA 02215-1200 2020-05-19
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1265054571 Nathaniel Moulson Student in an Organized Health Care Education/Training Program 125 Nashua St Massachusetts General Hospital, Suite 260, Boston, MA 02114-1109 2020-05-08
1275154940 Jorge Nicolas Ruiz Student in an Organized Health Care Education/Training Program Shapiro Primary Care 725 Albany Street, Boston, Ma, 021, Boston, MA 02128 2020-05-04
1407477359 Nayana Ramesh Somayaji Student in an Organized Health Care Education/Training Program 820 Harrison Ave Fgh Bldg 4th Floor, Boston, MA 02118-2905 2020-05-01
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
Find all providers in BOSTON

Office Location

Street Address 1 NASSAU ST APT 906
City BOSTON
State MA
Zip Code 02111-1554

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548883465 Elizabeth Carter Stapleton Dentist Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 2020-05-27
1932729597 Jacob Joseph Kosarchuk Neurological Surgery 800 Washington Street, Proger 7, Boston, MA 02111 2020-04-23
1164051868 Daniele Abela Student in an Organized Health Care Education/Training Program 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 2020-04-04
1184265258 Jade Orthodontics Dentist 30 Kneeland St, Suite 301, Boston, MA 02111 2019-09-30
1932753639 Loukia Kamille Danaf Student in an Organized Health Care Education/Training Program 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 2019-07-31
1033771944 Faris Khalifa Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 5th Floor, Boston, MA 02111 2019-07-01
1609437276 Blair Hanna Ray Farbstein Student in an Organized Health Care Education/Training Program 1 Kneeland Street, 3rd Floor, Boston, MA 02111 2019-06-25
1821658709 Jennifer Drummond Internal Medicine 800 Washington St. Gme Office, Boston, MA 02111 2019-06-13
1487212981 Eliza Jane Gowell Student in an Organized Health Care Education/Training Program Tusdm, One Kneeland Street, Dhs 353, Boston, MA 02111 2019-05-31
1750867800 Reimy Evangelista De Leon Student in an Organized Health Care Education/Training Program Tufts University-school of Dental Medicine, 1 Kneeland Street, 6th Floor, Boston, MA 02111 2018-07-12
Find all providers in zip 02111

Competitor

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City BOSTON
Zip Code 02111

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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.