Landmark Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101230358 Issued in VA

Legal business name

LANDMARK INTERNAL MEDICINE, LLC

Practice address

6300 Stevenson Ave
Suite B
Alexandria, VA 22304-3576

Phone

(703) 370-0778

Fax

(703) 212-7083

NPI assigned

Jul 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John K Kim, M.D.

Title

MD

Phone

(703) 370-0785

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1285832535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2646",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220310646",
            "telephone_number": "703-323-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 STEVENSON AVE",
            "address_2": "SUITE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043576",
            "telephone_number": "703-370-0778",
            "fax_number": "703-212-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-09",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "703-370-0785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3798",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.