Sunny S. Kim, Md Pa, NPI 1659301992
Orthopaedic Surgery of the Spine Physician in Burnsville, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1659301992
NPI Entity Type Organization
Provider Name Sunny S. Kim, Md Pa
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1601 Highway 13 E Ste 211, Burnsville, MN, US
Provider Mailing Address 1601 Highway 13 E Ste 211, Burnsville, MN, US, 553375105
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Marya C Lydeen
Official Position SVP/PRACTICE ADMINISTRATOR
Phone 952-405-9760

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207XS0117X

Taxonomy Name Orthopaedic Surgery of the Spine Physician
Classification

Orthopaedic Surgery

Group

Allopathic & Osteopathic Physicians

License No. 31927
License State MN
Description Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Other Organization Name

Tristate Brain and Spine Institute
Doing Business As

Business Address

Sunny S. Kim, Md Pa
1601 Highway 13 E Ste 211

Burnsville, MN, US

Phone: 320-763-8888
Fax: 952-405-9760

Mailing Address

Sunny S. Kim, Md Pa
1601 Highway 13 E Ste 211
Burnsville, MN, US
ZIP 553375105
Phone: 952-405-9760
Fax: 855-430-6952

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207T00000X

Allopathic & Osteopathic Physicians

Neurological Surgery

54789 MN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
178083200 MN MEDICAID 05
250003199 MN RAILROAD MEDICARE 01
963393600 MN MEDICAID 05
20011924 MN RAILROAD MEDICARE 01
6727410001 MN NSC 01

Other Providers in MN, US

NPI Name Taxonomy Address

1508589474

LPCC Renee A. M. Louck

Individual

Mental Health Counselor

4408 Bloomington Ave

Minneapolis, MN

1053066902

Advanced Psychological Services Llc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

304 Belle Ave

Mankato, MN

1881130573

Biogray, Llc

Organization

Clinical Medical Laboratory

5201 Eden Ave Ste 300

Edina, MN

1770154064

M.D Omair Ul Haq Lodhi

Individual

Student in an Organized Health Care Education/Training Program

420 Delaware St Se Mmc 295

Minneapolis, MN

1871176537

Health Associates Professional Llc

Organization

In Home Supportive Care Agency

5747 W Broadway Ave Ste 212d

Crystal, MN

1699053231

MD Rebecca Hibbert

Individual

Diagnostic Radiology Physician

200 1st St Sw

Rochester, MN

1053036426

PHARMD Maria Mohar

Individual

Pharmacist

2199 Highway 36 E

North Saint Paul, MN

1174248546

Salima Health Service Inc

Organization

Home Health Agency

1020 E 146th St Ste 117

Burnsville, MN

1811553894

DR. DDS Amy Jo Full

Individual

General Practice Dentistry

1027 2nd Ave

Worthington, MN

1629793088

Desiree Williams

Individual

Behavior Technician

3333 University Ave Se

Minneapolis, MN

1699437145

PA-C Eliza Anderson Abraham

Individual

Medical Physician Assistant

4480 Centerville Rd

White Bear Lake, MN

1649995093

DNP, CRNA Alex Ringhand

Individual

Certified Registered Nurse Anesthetist

500 Harvard St Se

Minneapolis, MN

1992174007

PA-C Lisa Elizabeth Worthington

Individual

Physician Assistant

2450 Riverside Ave

Minneapolis, MN

1740905199

Peyton William Lavigne

Individual

Behavior Technician

223 Center St

Winona, MN

1750006102

Alison Ann Newton Knapp

Individual

Women's Health Nurse Practitioner

1052 Ridge Crest Ln Nw

Rochester, MN

1811406945

Jennifer Rose Elmberg

Individual

Clinical Social Worker

225 1st St N Ste 3100b

Virginia, MN

1164147583

DPT Linda Chai

Individual

Physical Therapist

4801 W 81st St Ste 112

Bloomington, MN

1528547650

Renaissance Adult Day Care Inc.

Organization

Adult Day Care Clinic/Center

3045 Coon Rapids Blvd Nw

Coon Rapids, MN

1184349508

RD Olivia Jacobs

Individual

Registered Dietitian

2450 Riverside Ave

Minneapolis, MN

1912367368

Twin Cities Anaplastology

Organization

Customized Equipment (DME)

1880 Livingston Ave Ste 103

West Saint Paul, MN

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