Active NPI
Anna Soohyung Kim, MD
- Ophthalmology Physician
- Edmonds, WA
National Provider Identifier
1336123769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00038208
- Practice address
- 7320 216TH St SW
Suite 220
Edmonds, WA 98026 - Phone
- (425) 637-3990
- Fax
- (425) 673-3993
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00038208 | WA | Primary |
Addresses
Primary practice location
7320 216TH St SW
Suite 220
Edmonds, WA 98026
Mailing address
7320 216TH St SW
Suite 220
Edmonds, WA 98026
Phone (425) 637-3990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1117738 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel K. Seto MD PLLC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1336123769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 216TH ST SW",
"address_2": "SUITE 220",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-637-3990",
"fax_number": "425-673-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 216TH ST SW",
"address_2": "SUITE 220",
"city": "EDMONDS",
"state": "WA",
"postal_code": "98026",
"telephone_number": "425-637-3990",
"fax_number": "425-673-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ANNA",
"middle_name": "SOOHYUNG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00038208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1117738",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.