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1487633723 NPI number — TAIK H KIM MD

NPI Number: 1487633723
Health Care Provider/Practitioner: TAIK H KIM MD

Information about “1487633723” NPI (TAIK H KIM MD) exists in 1487633723 in HTML format HTML  |  1487633723 in plain Text format TXT  |  1487633723 in PDF (Portable Document Format) PDF  |  1487633723 in an XML format XML  formats.

NPI Number : 1487633723 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487633723",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "TAIK",
    "MiddleName": "H",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1020A E BOAL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOALSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16827-1509",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-237-8627",
    "MailingAddressFaxNumber": "814-238-0083",
    "FirstLinePracticeLocationAddress": "111 MARYS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KINGSTON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12401-5852",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-339-7700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/14/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0001X",
        "TaxonomyName": "Radiation Oncology Physician",
        "LicenseNumber": "154290",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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