P John Kim MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

P JOHN KIM MD

Practice address

18635 NW US Highway 441
High Springs, FL 32643-8708

Phone

(386) 454-2724

Fax

(386) 454-2899

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. P John Kim, MDNPI 1669472098

Title

Owner

Phone

(386) 454-2724

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• P John Kim, MD

  • Family Medicine Physician
  • High Springs, FL
  • NPI 1669472098
  NPD (past) Authorized official

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1134511462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18635 NW US HIGHWAY 441",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326438708",
            "telephone_number": "386-454-2724",
            "fax_number": "386-454-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18635 NW US HIGHWAY 441",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326438708",
            "telephone_number": "386-454-2724",
            "fax_number": "386-454-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P JOHN KIM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "P JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-454-2724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044632700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Marie Mulligan, RPH
• North Florida Pharmacy of High Springs, Inc.
• Caroni Patricia O'Kelly
• Martin Daniel O'Sullivan, RRT
• Billie Jo Owens, LMT
• Alecksandra Pantoja, APRN
• Bhartiben Patel
• Pecan Tree Holdings, LLC
• Melissa Perry
• Keara C Powers, SOCIAL WORKER

• Family Medicine Physician in High Springs, FL
• Providers in High Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.