Jennifer Kim, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0061R Issued in OK

Practice address

4 E Clark Bass Blvd Ste 300
McAlester, OK 74501-4269

Phone

(918) 421-6795

Fax

(918) 421-6791

NPI assigned

Sep 29, 2014

Sex

Female

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Lincoln Memorial University Medical Department, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McAlester Medical Services LLCGroup PAC ID 9931139029, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heritage Home Care, Inc Home health agency, Eufaula, OK, CCN 377872
• McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• McAlester Medical Services, LLC

  • Internal Medicine Physician
  • McAlester, OK
  • NPI 1154317998

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Warren Clinic Inc

  • General Practice Physician
  • Tulsa, OK
  • NPI 1174582282
  Medicare reassignment NPD
• McAlester Regional Health Center Authority

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Heritage Home Care Inc

  • Home Health Agency
  • Eufaula, OK
  • NPI 1265132633
  Care Compare affiliation
• McAlester Regional Health Center Authority

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  Care Compare affiliation

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1255734778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 GREEN MEADOWS CIR",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E CLARK BASS BLVD STE 300",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014269",
            "telephone_number": "918-421-6795",
            "fax_number": "918-421-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "0061R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdolkarim Khorasanchian, MD
• Ki Bois Community Action Foundation
• Ki Bois Community Action Foundation
• Ki Bois Community Action Foundation, Inc
• Kidzchoice, PC
• Zella Kincaid
• Andrea L. King, B.A.
• Ellis King
• Leah King
• Lesa King, LPC

• Family Medicine Physician in McAlester, OK
• Providers in McAlester, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.
• 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.