Hyonwoo Adam Kim, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

POR243 Issued in FL

Practice address

115 S Macdill Ave
Tampa, FL 33609-3128

Phone

(813) 251-1590

Fax

(813) 251-0642

NPI assigned

Sep 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Adam Kim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1750167615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093128",
            "telephone_number": "813-251-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093128",
            "telephone_number": "813-251-1590",
            "fax_number": "813-251-0642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 S Macdill Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336093128",
            "country_code": "US",
            "telephone_number": "813-251-1590",
            "fax_number": "813-251-0642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYONWOO",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "POR243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAM",
            "last_name": "KIM",
            "prefix": "MR.",
            "credential": "CPO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Kim
• Dae Won Kim, M.D.
• Esther Youngmi Kim, RD
• Fanette Kim, O.D.
• Hyon Jeong Kim, MD
• Jennifer Kim, PHARMD
• Jin Kim
• Jin M. Kim, D.O.
• Jongmyung Kim, MD, PHD
• Kami Kim, MD

• Prosthetist in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.