NPIMap

Organization Active NPI

Sugene Kim MD, PA

  • Plastic Surgery Physician
  • The Woodlands, TX
National Provider Identifier
1124286992
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
M6704 Issued in TX
Legal business name
SUGENE KIM MD, PA
Practice address
4185 Technology Forest Blvd
Suite 150
The Woodlands, TX 77381-2005
Phone
(281) 363-4546
Fax
(281) 882-8899
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Dr. Sugene Kim, M.D.
Title
Medical Director
Phone
(281) 363-4546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X M6704 TX Primary

Addresses

Primary practice location

4185 Technology Forest Blvd
Suite 150
The Woodlands, TX 77381-2005

Mailing address

4185 Technology Forest Blvd
Suite 150
The Woodlands, TX 77381-2005
Phone (281) 363-4546

Other names 1

  • SGK Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

4185 Technology Forest Blvd
Ste 150
The Woodlands, TX 77381
Phone (281) 363-4546

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1124286992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 TECHNOLOGY FOREST BLVD",
            "address_2": "SUITE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812005",
            "telephone_number": "281-363-4546",
            "fax_number": "281-882-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 TECHNOLOGY FOREST BLVD",
            "address_2": "SUITE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812005",
            "telephone_number": "281-363-4546",
            "fax_number": "281-882-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGENE KIM MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUGENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-363-4546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M6704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SGK Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.