Jin M Kim D O P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JIN M KIM D O P A

Practice address

10205 W Hillsborough Ave
Tampa, FL 33615-3671

Phone

(813) 884-2300

Fax

(813) 884-2390

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Jun H Kim

Title

Office Administrator

Phone

(813) 884-2300

Specialties & licenses 1

Addresses

Other names 1

• TLC Family Medical & Rehab Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Jefferson, PT

  • Orthopedic Physical Therapist
  • Tampa, FL
  • NPI 1174602031
  Medicare reassignment NPD
• Jin M. Kim, D.O.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1871693267
  Medicare reassignment NPD
• Lorie Lee Riley, DPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1356658447
  Medicare reassignment NPD
• Ka H Kim, ARNP

  • Nurse Practitioner
  • Trinity, FL
  • NPI 1477863835
  NPD (past)
• Jill Spindell, P.A.

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1851832364
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1699875096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153671",
            "telephone_number": "813-884-2300",
            "fax_number": "813-884-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153671",
            "telephone_number": "813-884-2300",
            "fax_number": "813-884-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN M KIM D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "813-884-2300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Family Medical & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy L Jimenez, CRNA
• Maria Emil Jimenez, PSYD
• Raysa Jimenez
• Yasmelis Jimenez
• Jimmie Jean Wilbur MD PA
• Guohua Jin
• Lauren Jindia, DO
• Saphyre Jiron
• Nadia Jivani, MD
• Aly-Hussain Jiwa

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.