Active NPI
Wook Kim MD PC
- Specialist
- Southfield, MI
National Provider Identifier
1669919379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 43010099580
- Legal business name
- WOOK KIM MD PC
- Practice address
- 29877 Telegraph Rd
Ste 401
Southfield, MI 48034-1332 - Phone
- (248) 651-8344
- NPI assigned
- Jan 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simrat Dhillon
- Title
- Manager
- Phone
- (616) 485-0584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 43010099580 | MI | Primary |
Addresses
Primary practice location
29877 Telegraph Rd
Ste 401
Southfield, MI 48034-1332
Mailing address
29877 Telegraph Rd
Ste 401
Southfield, MI 48034-1332
Phone (248) 651-8344
Other names 1
- Farmbrook Interventional Pain & EMG
National Provider Directory
National Provider DirectoryLocations
29877 Telegraph Rd
Ste 401
Southfield, MI 48034
Phone (248) 354-0730
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Southfield, MI
- NPI 1932317260
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484870400000",
"number": "1669919379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD",
"address_2": "STE 401",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341332",
"telephone_number": "248-651-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29877 TELEGRAPH RD",
"address_2": "STE 401",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341332",
"telephone_number": "248-651-8344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOOK KIM MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-20",
"last_updated": "2017-01-20",
"status": "A",
"authorized_official_last_name": "DHILLON",
"authorized_official_first_name": "SIMRAT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "616-485-0584"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "43010099580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmbrook Interventional Pain & EMG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.