Organization Active NPI

Howard County ENT, LLC

  • Otolaryngology Physician
  • Elkridge, MD
National Provider Identifier
1336452499
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD425368 Issued in MD
Legal business name
HOWARD COUNTY ENT, LLC
Practice address
6755 Business Pkwy
Suite 302
Elkridge, MD 21075-6340
Phone
(443) 430-9747
Fax
(443) 927-7374
NPI assigned
Jul 19, 2010
Last updated
Mar 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Dr. Sungjoo Brian Kim, M.D.
Title
President
Phone
(443) 430-9747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD425368 MD Primary

Addresses

Primary practice location

6755 Business Pkwy
Suite 302
Elkridge, MD 21075-6340

Mailing address

6755 Business Pkwy
Suite 302
Elkridge, MD 21075-6340
Phone (443) 430-9747

National Provider Directory

National Provider Directory

Locations

6755 Business Pkwy
Ste 302
Elkridge, MD 21075
Phone (410) 796-5180

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1336452499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY",
            "address_2": "SUITE 302",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756340",
            "telephone_number": "443-430-9747",
            "fax_number": "443-927-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY",
            "address_2": "SUITE 302",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756340",
            "telephone_number": "443-430-9747",
            "fax_number": "443-927-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD COUNTY ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNGJOO",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-430-9747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "MD425368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.