Organization Active NPI

Wook Kim MD PC

  • Specialist
  • Southfield, MI
National Provider Identifier
1669919379
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
43010099580 Issued in MI
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

Updated by the provider on Jan 20, 2017

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.