Stanley H Kim, MD PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

L6472 Issued in TX

Legal business name

STANLEY H KIM, MD PA

Practice address

12180 N Mopac Expy Ste B
Austin, TX 78758-2909

Phone

(512) 617-6767

Fax

(512) 617-5598

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Stanley H Kim, MDNPI 1871578252

Title

Owner

Phone

(512) 617-6767

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Stanley Hyochon Kim, MD

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1871578252
  Medicare reassignment NPD Authorized official
• Anant I Patel, M.D.

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1295710655
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1255525093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 N MOPAC EXPY STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582909",
            "telephone_number": "512-617-6767",
            "fax_number": "512-617-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 N MOPAC EXPY STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582909",
            "telephone_number": "512-617-6767",
            "fax_number": "512-617-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY H KIM, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-617-6767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "L6472",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162543601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Lee Stanford
• Jordon Avery Stanford, LMFT-A
• Thomas E Stanford Jr., MD
• Holly J Stanger, FNP
• Gina Kay Stango, OTR, OTD, MOT, ATP
• Aubrey Elizabeth Stanley, NP-C
• Bo James Stanley, D.D.S.
• Diane Renee Robidoux Stanley, DACOM, L.AC.
• Mollie Moore Stanley, NP
• Natalie Stanley, COTA

• Neurological Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.