Hyung-Bae Kim MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD019119E Issued in PA

Legal business name

HYUNG-BAE KIM MD PC

Practice address

545 N River St
Suite 210
Wilkes Barre, PA 18702-2600

Phone

(570) 823-1169

Fax

(570) 823-2468

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hyung-Bae Kim, MDNPI 1922290824

Title

MD

Phone

(570) 823-1169

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Hyungbae Kim MD Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyungbae Kim, M.D.

  • Obstetrics & Gynecology Physician
  • Wilkes Barre, PA
  • NPI 1922290824
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023126828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST",
            "address_2": "SUITE 210",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-823-1169",
            "fax_number": "570-823-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST",
            "address_2": "SUITE 210",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-823-1169",
            "fax_number": "570-823-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNG-BAE KIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUNG-BAE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "570-823-1169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD019119E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1427276",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007414870008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "208813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST PRIORITY",
            "identifier": "815732",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyungbae Kim MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gary Mark Hutsko, CRNP
• Maria Hutsko, RPH
• Jairad S Hydrick, PPAS
• John Christopher Hyduk
• Matthew Thomas Hysore, PA-C
• Mohammad Ibrar, MD
• Mohammad Faisal Iftikhar
• Charity Iheagwara, MD
• Patricia M. Ihnat-Shroff, D.O.
• Ilkes-Barre Veterans Affairs Medical Center

• Obstetrics & Gynecology Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.