Tiffany Kim PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

TIFFANY KIM PLLC

Practice address

4680 McLeod Dr E Ste 1
Saginaw, MI 48604-2852

Phone

(989) 791-9100

Fax

(989) 791-6746

NPI assigned

Jun 23, 2022

Organization subpart

No

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

Authorized official

Name

Tiffany Kim, MDNPI 1225340169

Title

MD/Owner

Phone

(989) 791-9100

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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 2

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

• Tiffany Kim, M.D.

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1225340169
  Medicare reassignment Care Compare group NPD Authorized official
• Melody Walk

  • Women's Health Nurse Practitioner
  • Saginaw, MI
  • NPI 1487003992
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1215668967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 MCLEOD DR E STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042852",
            "telephone_number": "989-791-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 MCLEOD DR E STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042852",
            "telephone_number": "989-791-9100",
            "fax_number": "989-791-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY KIM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "989-791-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eThomas",
            "affiliation": "N",
            "address_1": "4177 Fashion Square Blvd Ste 1",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486035216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelli Thrush
• Serge M Thurin, DO
• Emily Anne Thurlow, WHNP
• Lisa Thurston, OTRL
• Caitlin Nichole Tierney
• Shontell M Tillman
• Timberline Physicians, P.C.
• Char'Meice Timmons
• Tina Hendershot LLC
• Mary Tinklepaugh, ANP-BC, PHMNP-BC

• Obstetrics & Gynecology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.