Hak-Joong Kim M.D. S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20698-30 Issued in WI

Legal business name

HAK-JOONG KIM M.D. S.C.

Practice address

5757 W Oklahoma Ave
Suite 101
Milwaukee, WI 53219-4303

Phone

(414) 321-1900

Fax

(414) 321-0089

NPI assigned

Feb 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hak-Joong Kim, M.D.

Title

President

Phone

(414) 321-1900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1750613089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SHEFFIELD DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057926",
            "telephone_number": "414-321-1900",
            "fax_number": "414-321-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W OKLAHOMA AVE",
            "address_2": "SUITE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532194303",
            "telephone_number": "414-321-1900",
            "fax_number": "414-321-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAK-JOONG KIM M.D. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAK-JOONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-321-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "20698-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30147600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles Allen Hajinian, D.D.S.
• Shawn Christine Hake, PA
• Joseph M Halaiko
• Angela M Halbach, APNP
• Patrick James Halbach, PA-C
• Kevin Eugene Halbert, M.D.

• Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.