Anne Kim, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

15236 N 59TH Ave
Glendale, AZ 85306-3206

Phone

(602) 337-8356

Fax

(602) 337-8364

NPI assigned

Aug 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Arizona Oncology Associates PC

  • Specialist
  • Tucson, AZ
  • NPI 1578587671
  NPD (past)

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1487054110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15236 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063206",
            "telephone_number": "602-337-8356",
            "fax_number": "602-337-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15236 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063206",
            "telephone_number": "602-337-8356",
            "fax_number": "602-337-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Kijewski
• Sue Kilgore
• Killeen Therapy Services, Inc
• Diane Mary Killeen, PT
• Andrew Bosun Kim, L.AC
• BJ Kim, DMD
• Cho Long Elizabeth Kim, NMD, PMHNP-BC
• Joyce Kim, NP-C
• Kenneth M. Kimble, D.D.S.
• Kinections Pediatric Therapy LLC

• All providers in Glendale, AZ
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.