DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1255334900

NPI Code Detail

MEDICARE: DR. JONG K KIM M.D.

MEDICARE: DR. JONG K KIM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D46088	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00059981	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J2470001	OTHER	MD	GHMSI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	J2490001	OTHER	MD	GHMSI
4	37054	OTHER	PA	HIGHMARK BLUE SHIELD
5	J2480001	OTHER	MD	GHMSI
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255334900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONG K KIM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 808
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21501-0808
Country	:	US
Telephone Number	:	301-724-1646
Fax Number	:	301-724-7429

Provider Business Practice Location Address
First Line	:	952 SETON DR
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-1950
Country	:	US
Telephone Number	:	301-777-3522
Fax Number	:	301-777-1902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2005
Last Update Date	:	03/13/2008

Similar Medicare Providers

1982607933 — ADR LLC
Practice Location Address:

952 SETON DR
CUMBERLAND, MD
21502-1950

Practice Phone: 301-777-3522
Practice Fax: 301-777-1902

1306849351 — WESTERN MD PET IMAGING LLC
Practice Location Address:

952 SETON DR
CUMBERLAND, MD
21502-1950

Practice Phone: 301-777-3522
Practice Fax: 301-777-1902

1306849492 — DR. MYUNG-SUP KIM M.D.
Practice Location Address:

952 SETON DR
CUMBERLAND, MD
21502-1950

Practice Phone: 301-777-3522
Practice Fax: 301-777-1902

1457354516 — DR. CLARENCE J VINCENT M.D.
Practice Location Address:

952 SETON DR
CUMBERLAND, MD
21502-1950

Practice Phone: 301-777-3522
Practice Fax: 301-777-1902

1427051788 — DR. SURESH M SHRESTHA M.D.
Practice Location Address:

952 SETON DR
CUMBERLAND, MD
21502-1950

Practice Phone: 301-724-1646
Practice Fax: 301-724-7429

1467405514 — BALJEET SINGH MAHAL M.D.
Practice Location Address:

952 SETON DR
CUMBERLAND, MD
21502-1950

Practice Phone: 301-724-6787
Practice Fax:

Directions to “ DR. JONG K KIM M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.