Samuel C Kim Neurological Surgery

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SAMUEL C KIM NEUROLOGICAL SURGERY

Practice address

13677 W McDowell Rd
Goodyear, AZ 85395-2635

Phone

(424) 443-4749

Fax

(951) 667-7786

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Sandy Kim

Title

Practice Administrator

Phone

(424) 443-4749

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Kim

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1215917091
  NPD

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1366228348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 E CAMELBACK RD STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164245",
            "telephone_number": "424-443-4749",
            "fax_number": "951-667-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13677 W MCDOWELL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952635",
            "telephone_number": "424-443-4749",
            "fax_number": "951-667-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL C KIM NEUROLOGICAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "424-443-4749"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Salazar
• Salem Assisted Home Care LLC
• Kimberly Salinas, OTR/L
• Maribel Sambrano
• Julianne Sample, LPC
• Samuel T Figueroa M D PLC
• Auri Mari Sanchez Cordova
• Andrea Sanchez
• Beth Ilene Sanchez, AU.D.
• Diana Iris Sanchez, LPC

• Neurological Surgery Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Neurological Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.