Young C Kim, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35.045848 Issued in OH

Practice address

18697 Bagley Road
Middleburg Heights, OH 44130-3417

Phone

(440) 816-8770

Fax

(440) 816-8806

NPI assigned

Jul 22, 2005

Last updated

Sep 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Radiology Services of Canton, Inc.

  • Diagnostic Radiology Physician
  • Canton, OH
  • NPI 1942200761
  NPD (past)
• Southside Radiology Associates, Inc

  • Diagnostic Radiology Physician
  • Cleveland, OH
  • NPI 1669474276
  NPD (past)
• X-Ray, Inc.

  • Vascular & Interventional Radiology Physician
  • Lima, OH
  • NPI 1417970542

  Diagnostic Radiology

  NPD (past)
• Ben-Ora, Hansen, & Vanesian Imaging

  dba Solis BenOra Mammography

  • Mammography Clinic/Center
  • Phoenix, AZ
  • NPI 1629345707
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1306846167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DRIVE",
            "address_2": "SUITE 210",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364451",
            "telephone_number": "330-655-3800",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18697 BAGLEY ROAD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303417",
            "telephone_number": "440-816-8770",
            "fax_number": "440-816-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35045848",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.045848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000234730",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0304914",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000559893",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL PIN NO",
            "identifier": "000000341983",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00600868",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448359",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee E Kessick, LPC
• Kyle Kettler
• Jack Kidwell
• Bridget Patricia Kilbane, LPC
• Jennifer Dee Killian, O.D
• Florence V Kimbo, MD
• Eric Kirby
• Neal Jay Klatzko, MD
• Spencer John Kline, LPC
• Koinonia Community Services LLC (Smith House)

• Diagnostic Radiology Physician in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.