Byung-Oh Kim, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0018799 Issued in MD

Practice address

5070 Dorsey Hall Dr Ste 101
Ellicott City, MD 21042-7711

Phone

(410) 884-9293

Fax

(410) 884-6933

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Maryland Rehab and Pain Specialists,LLC

  • Preferred Provider Organization
  • Ellicott City, MD
  • NPI 1962788323
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043377823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 WOODED RUN DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443800",
            "telephone_number": "410-730-6518",
            "fax_number": "410-884-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 DORSEY HALL DR STE 101",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427711",
            "telephone_number": "410-884-9293",
            "fax_number": "410-884-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BYUNG-OH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0018799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Dental Center, LLC
• Kids' Village Therapy, LLC
• Mary Julie Kieta
• Kim & Kim, D.D.S., P.a.
• Kim Jones-Fearing M.D. LLC
• David H Kim, DDS
• Dong Guk Kim, D.C
• Ellen Kim, RPH
• Heejung Kim, D.D.S
• Henry Kim

• General Practice Physician in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.