Choong H. Kim, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHOONG H. KIM, M.D., INC.

Practice address

2825 Lake Ave
Ashtabula, OH 44004-4961

Phone

(440) 998-1200

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Choong H Kim, M.D.

Title

Owner

Phone

(440) 998-1200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104029198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044961",
            "telephone_number": "440-998-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044961",
            "telephone_number": "440-998-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOONG H. KIM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHOONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-998-1200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418711",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1508877218",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaunna Chiacchiero
• Brian Chiaramonte
• Padmaja Chilukoti, MBBS, DGO
• James Nam Jae Cho, MD
• Suk Kon Choi, MD
• Joyce Ann Christiansen
• CHS - Lake Erie, Inc
• CHS of Ashtabula Inc
• Christina Cicon
• Moises Cirilo Escobar

• Internal Medicine Physician in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Internal Medicine Physician in Ohio

• 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.