Sung E. Kim, M.D., P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D16193 Issued in MD

Legal business name

SUNG E. KIM, M.D., P.A.

Practice address

1600 Crain Hwy S
Suite # 609
Glen Burnie, MD 21061-5577

Phone

(410) 768-5030

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sung E. Kim, M.D.

Title

President

Phone

(410) 768-5030

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740381193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE # 609",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-768-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE # 609",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-768-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG E. KIM, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-768-5030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D16193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAFEFIRST #",
            "identifier": "4895SE",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE #",
            "identifier": "S027",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kedar Arun Sule
• Marguerite G Summers, MD
• Summit Ambulatory Surgical Center, LLC
• Summit Peak Recovery LLC
• Eric R Sundel, M.D.
• Sunstone (Balance & Birch)
• Kelsey Brianna Suppa, PA-C
• Surgcenter of Glen Burnie (SurgCenter of Glen Burnie, LLC)
• Surgical Assist Services LLC
• Juan A Suriel, MD

• Obstetrics & Gynecology Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.