Active NPI
Seo Eun Kim
- Neurological Surgery Physician
- Baltimore, MD
National Provider Identifier
1407621071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0000000000
- Practice address
- 1800 Orleans St
Baltimore, MD 21287-0010 - Phone
- (667) 306-6327
- NPI assigned
- Nov 23, 2023
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0000000000 | ZZ | Primary |
Addresses
Primary practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
11-1 Seooreung-Ro 6-Gil, Eunpyeong-Gu
Seoul, SEOUL 03378
KR
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000000 | ZZ | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700697600000",
"number": "1407621071",
"addresses": [
{
"country_code": "KR",
"country_name": "Korea, Republic of",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "11-1 SEOOREUNG-RO 6-GIL, EUNPYEONG-GU",
"city": "SEOUL",
"state": "SEOUL",
"postal_code": "03378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ORLEANS ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870010",
"telephone_number": "667-306-6327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SEO EUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-23",
"last_updated": "2023-11-23",
"certification_date": "2023-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "ZZ",
"license": "0000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.