John J Kim, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD035999Y Issued in PA

Practice address

1501 Lansdowne Ave
#209
Darby, PA 19023-1333

Phone

(610) 534-6370

Fax

(610) 534-6374

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235158387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "#209",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6370",
            "fax_number": "610-534-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LANSDOWNE AVE",
            "address_2": "#209",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231333",
            "telephone_number": "610-534-6370",
            "fax_number": "610-534-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD035999Y",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0053346000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006886200002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuba Anwar Khan, MD
• Vidita Vijay Khatri, MD
• Mustafa Khedr, MD
• Mohsen Paul a Khoury, M.D.
• Alisa Chung-a Kim, MS, DO
• Michael Kinslow, CRNA
• Saniia Kipkeeva
• Andrew Kirk, PHARMD
• Karen J Kish, MD
• Augustus Koch, MD

• Otolaryngology Physician in Darby, PA
• Providers in Darby, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.