Jung H Kim MD PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

JUNG H KIM MD PA

Practice address

340 NW Commerce Dr
Lake City, FL 32055-4709

Phone

(386) 719-9390

Fax

(386) 719-7729

NPI assigned

Aug 30, 2006

Last updated

Aug 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jung H Kim, MDNPI 1407964042

Title

President

Phone

(386) 719-9390

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jung H Kim, MD

  • Anesthesiology Physician
  • Lake City, FL
  • NPI 1407964042
  Authorized official Same address or phone

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1275642290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 N.W. 13TH STREET",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326091858",
            "telephone_number": "352-376-1887",
            "fax_number": "352-375-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NW COMMERCE DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554709",
            "telephone_number": "386-719-9390",
            "fax_number": "386-719-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG H KIM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-719-9390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "94321",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamilyn Vaughn Jordan, MSN, ARNP, PNP-PC
• Tynette Jordan
• Joseph M Hernandez MD PA
• Kayla Juergens
• Julie L Owens OD PA (North Florida Eyecare)
• Kevin R Jurecko, DDS
• Caroline Cherry Jury, RDN/LD
• Autumn Delain Jusic, MSN
• Lisa Marie Justice
• Mittal Kenil Kapadia, APRN FNP-BC

• Anesthesiology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.