NPIMap

Organization Active NPI

Yun W Kim, MD, PA

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1588005672
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4470 Issued in TX
Legal business name
YUN W KIM, MD, PA
Practice address
11207 N Lamar Blvd Ste B
Austin, TX 78753-3056
Phone
(512) 649-2195
Fax
(512) 814-0726
NPI assigned
Jul 17, 2013
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Mariah E Barnes
Title
Office Manager
Phone
(512) 472-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P4470 TX Primary

Addresses

Primary practice location

11207 N Lamar Blvd Ste B
Austin, TX 78753-3056

Mailing address

11207 N Lamar Blvd Ste B
Austin, TX 78753-3056
Phone (512) 649-2195

National Provider Directory

National Provider Directory

Locations

11207 N Lamar Blvd
Ste B
Austin, TX 78753
Phone (512) 649-2195

3200 Red River St
Ste 210
Austin, TX 78705
Phone (512) 472-3161

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1588005672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11207 N LAMAR BLVD STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533056",
            "telephone_number": "512-649-2195",
            "fax_number": "512-814-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11207 N LAMAR BLVD STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533056",
            "telephone_number": "512-649-2195",
            "fax_number": "512-814-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUN W KIM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-472-3161"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.