Ray Kim DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2860 Issued in FL

Legal business name

RAY KIM DPM PA

Practice address

9692 Pines Blvd
Pembroke Pines, FL 33024-6246

Phone

(954) 435-8644

Fax

(954) 435-8809

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ray Kim, DPM

Title

President

Phone

(954) 435-8644

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1538394192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9692 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246246",
            "telephone_number": "954-435-8644",
            "fax_number": "954-435-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9692 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246246",
            "telephone_number": "954-435-8644",
            "fax_number": "954-435-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY KIM DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-435-8644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Daza, M.D., P.a.
• Tanya-Ann Marie Rausch, APRN
• Regina Ravachi, LMHC
• Leila Ione Ravagnani Souza Barros, PTA
• Saumya Rawat, MD
• Ray of Grace Healthcare Services LLC
• Jyotishankar Raychaudhuri, MD, MBBS
• Raza Neurospine, PLLC.
• RB Global Trading Corp
• RCS Exclusive Therapy, LLC

• Foot & Ankle Surgery Podiatrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.