Yoon Jung Kim, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0047157 Issued in MD

Practice address

9114 Philadelphia Rd Suite 108
Ste 108, Medical Health Group at White Marsh
Baltimore, MD 21237-4317

Phone

(410) 918-0777

Fax

(410) 369-1707

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1003893116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD SUITE 108",
            "address_2": "STE 108, MEDICAL HEALTH GROUP AT WHITE MARSH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374317",
            "telephone_number": "410-918-0777",
            "fax_number": "410-369-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD SUITE 108",
            "address_2": "STE 108, MEDICAL HEALTH GROUP AT WHITE MARSH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374317",
            "telephone_number": "410-918-0777",
            "fax_number": "410-369-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOON",
        "middle_name": "JUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0047157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2331600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "W6470007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPOS",
            "identifier": "P15186",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "5816355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzie Kim, RN
• Suzie Kim
• Tae Kyung Kim
• William Yeonsoo Kim, MD
• Yeoung Eun Kim
• Yoon Kook Kim, MD
• Young Kim, M.D.
• Young J Kim, PT
• Youngchul Kim
• Youngho Kim

• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.