Julie E Kim, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

MD27528 Issued in OR

Practice address

1515 Village Dr
Cottage Grove, OR 97424-9700

Phone

(541) 942-0511

Fax

(541) 942-6735

NPI assigned

Jun 9, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Loma Linda University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Emergency Room Corp PCGroup PAC ID 2668467317, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1804/brand/1/csg/1/fhir/r4
• Direct secure messaging: jekim062@yourcarecommunity.org

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.

• Doctors Emergency Room Corp PC

  • Emergency Medicine Physician
  • Eugene, OR
  • NPI 1811055437
  Medicare reassignment Care Compare group NPD
• Peacehealth

  • Critical Access Hospital
  • Cottage Grove, OR
  • NPI 1902892391
  Medicare reassignment NPD
• Peacehealth Medical Group Cottage Grove

  • Multi-Specialty Clinic/Center
  • Creswell, OR
  • NPI 1780631267
  NPD
• St. John'S Emergency Physicians, Inc., P.S.

  • Emergency Medicine Physician
  • Longview, WA
  • NPI 1154354660
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McKenzie-Willamette Regional Medical Center Associates LLC

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1568413573
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1497796403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 569",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974400569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 VILLAGE DR",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249700",
            "telephone_number": "541-942-0511",
            "fax_number": "541-942-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JULIE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OR",
            "license": "MD27528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8432833",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina M Karcher, PT, OCS
• Susan Kauffman
• Kathryn R Kemp, MSW
• Susan Kemp
• Judy L Kephart, MH-FRA
• Ellie Klopp, QMHP
• Diana L. V. Knee, LCSW
• Craig C Knutson
• Toni Nichole Knutson
• Jeff P Koeppel, LCSW

• Emergency Medical Services (Emergency Medicine) Physician in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.