Seong Cheol Kim, MD, PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

SEONG CHEOL KIM, MD, PA

Practice address

1012 N Galloway Ave Ste 102
Mesquite, TX 75149-2461

Phone

(214) 660-2533

Fax

(214) 660-2525

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Seong Cheol Kim, MD

Title

MD

Phone

(214) 660-2533

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1366638819",
    "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": "214-660-2533",
            "fax_number": "214-660-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 N GALLOWAY AVE STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492461",
            "telephone_number": "214-660-2533",
            "fax_number": "214-660-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEONG CHEOL KIM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEONG",
        "authorized_official_middle_name": "CHEOL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "214-660-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141014404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.