Heesung Sean Kim, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0003939 Issued in MD

Practice address

106 Pine Bluff Rd Ste 11
Salisbury, MD 21801-7161

Phone

(410) 742-0770

Fax

(410) 742-2589

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: heesung.kim@ansaripediatrics.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mohsin Ansari MD Faap PC

  • Pediatrics Physician
  • Windsor Mill, MD
  • NPI 1427143536
  NPD (past)
• Mohsin Ansari MD Faap PC

  • Pediatrics Physician
  • Salisbury, MD
  • NPI 1730945981
  NPD (past)

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1720214919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PINE BLUFF RD STE 11",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017161",
            "telephone_number": "410-742-0770",
            "fax_number": "410-742-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PINE BLUFF RD STE 11",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017161",
            "telephone_number": "410-742-0770",
            "fax_number": "410-742-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEESUNG",
        "middle_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Lan Khoury, MD MPH
• Sumit Khurana
• Elizabeth A Kilgore
• Dennis M Killian, PHARM.D., PH.D.
• Grace Eunheh Kim, DDS
• Su Hyun Kim, DPM
• Kaitlyn Kimball
• Page O Kimball, CRNA
• Patricia Lee Kimm, COTA/L
• Rebecca Kimmons, LMSW

• Medical Physician Assistant in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.