S and S Kim Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

S AND S KIM GROUP PC

Practice address

1720 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89012-4896

Phone

(702) 566-5445

Fax

(702) 566-5035

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Sungwook S Kim, MDNPI 1871798900

Title

President

Phone

(702) 566-5445

Specialties & licenses 3

Addresses

Other names 1

• BRIGHTON FAMILY MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sungwook S Kim, MD

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1871798900
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1134323561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W HORIZON RIDGE PKWY STE B305 # 570",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124480",
            "telephone_number": "702-566-5445",
            "fax_number": "702-448-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W HORIZON RIDGE PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124896",
            "telephone_number": "702-566-5445",
            "fax_number": "702-566-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND S KIM GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNGWOOK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-566-5445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTON FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRIGHTON FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Jean Ryan
• Wendy A Ryan, LCSW
• Crystal Ryder, PA-C
• Olivia Rye
• S and L Hospice Care Inc
• S Honest Physical Therapy LLC
• S. Christensen DPT, Pllca
• S. Huang, DDS, PLLC
• S.T.E.P. of Southern Nevada
• S1 RCT PLLC

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.