North Regional Infectious Diseases Professional Association

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

K9585 Issued in TX

Legal business name

NORTH REGIONAL INFECTIOUS DISEASES PROFESSIONAL ASSOCIATION

Practice address

1730 Lake Forest Dr
Rockwall, TX 75087-3342

Phone

(972) 955-0145

Fax

(214) 660-2525

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

David Seong Cheol Kim, MDNPI 1487737714

Title

President/Owner

Phone

(972) 955-0145

Specialties & licenses 1

Addresses

Other names 1

• North Regional Infectious Diseases PA Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• David S Kim, MD

  • Infectious Disease Physician
  • Mesquite, TX
  • NPI 1487737714
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1306233291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851978",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851978",
            "telephone_number": "972-955-0145",
            "fax_number": "214-660-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 LAKE FOREST DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873342",
            "telephone_number": "972-955-0145",
            "fax_number": "214-660-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH REGIONAL INFECTIOUS DISEASES PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SEONG CHEOL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-955-0145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "K9585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Regional Infectious Diseases PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nocona Hospital District
• Terri Lea Noel, RNC, FNP
• John Ray Nolen Jr., ORT
• Stacye Dawn Corley Norlin, MS, LPC
• Robert Norman, B.S.
• North Star MCD, LLC
• North Texas Nutrition Associates
• North Texas Pathology Assoc., PA
• Northridge Ranch
• Nuch of Texas

• Infectious Disease Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.