NPIMap

Organization Active NPI

Moo Kim, MD, PC

  • Pain Clinic/Center
  • Methuen, MA
National Provider Identifier
1033355169
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
60417 Issued in MA
Legal business name
MOO KIM, MD, PC
Practice address
112 Jackson St
Methuen, MA 01844-5045
Phone
(978) 794-4800
Fax
(978) 794-4801
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Dr. Moo K Kim, M.D
Title
Owner
Phone
(978) 794-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 60417 MA Primary

Addresses

Primary practice location

112 Jackson St
Methuen, MA 01844-5045

Mailing address

112 Jackson St
Suite 2
Methuen, MA 01844-5045
Phone (978) 794-4800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1033355169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JACKSON ST",
            "address_2": "SUITE 2",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445045",
            "telephone_number": "978-794-4800",
            "fax_number": "978-794-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JACKSON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445045",
            "telephone_number": "978-794-4800",
            "fax_number": "978-794-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOO KIM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MOO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-794-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MA",
            "license": "60417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.