Sung Kim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109079 Issued in FL

Practice address

18550 US Highway 441
Ste a
Mount Dora, FL 32757-6751

Phone

(352) 735-3755

Fax

(352) 314-1942

NPI assigned

Nov 23, 2015

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Paramount Urgent Care Inc

  • Urgent Care Clinic/Center
  • Lady Lake, FL
  • NPI 1891956397
  NPD
• Doctor House Call LLC

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1639640717
  NPD (past)
• Lotus Healing Centers, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winter Springs, FL
  • NPI 1003435173
  NPD (past)
• Lotus Healing Centers, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Winter Springs, FL
  • NPI 1447867460
  NPD (past)
• Orlando Carenow Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Springs, FL
  • NPI 1205389905
  NPD (past)

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1134593536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "address_2": "STE A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "telephone_number": "352-735-3755",
            "fax_number": "352-314-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "address_2": "STE A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "telephone_number": "352-735-3755",
            "fax_number": "352-314-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin T Taylor MD PA
• Fadia Khader-Rashid
• Deepali Khadka, MD
• Ahrash Khajaei, DO
• Rabiya Khan, MD
• Yoonji Kim
• Kimberly Capstraw, LMFT
• Kimbers Care LLC
• Lisa Kingery, R.PH.
• Kinnar R Shah DMD PA

• Physician Assistant in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.