Ho Jin Kim, MD, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101226836 Issued in VA

Legal business name

HO JIN KIM, MD, LLC

Practice address

8371A Greensboro Dr
MC Lean, VA 22102-3529

Phone

(703) 893-3710

Fax

(703) 734-1404

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ho Jin Kim, M.D.NPI 1346381951

Title

Manager

Phone

(703) 893-3710

Specialties & licenses 1

Addresses

Other names 1

• Adult & Pediatric Dermatology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

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

• Ho Jin Kim, M.D.

  • Dermatology Physician
  • McLean, VA
  • NPI 1346381951

  DC

  Medicare reassignment NPD Authorized official
• Smeena Khan, M.D.

  • Dermatology Physician
  • Lansdowne, VA
  • NPI 1922108521
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1801017223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371A GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023529",
            "telephone_number": "703-893-3710",
            "fax_number": "703-734-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371A GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023529",
            "telephone_number": "703-893-3710",
            "fax_number": "703-734-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HO JIN KIM, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HO JIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-893-3710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101226836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult & Pediatric Dermatology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Alexander Hill, MD
• Laura Hill
• Andrew Hinkle, DDS
• Ryan Hinojosa, PHD
• Michael David Hmara, PT, DPT
• Anthony G Ho, M.D.
• Thao Ho
• Abby Nicole Hock, CADC
• Amelia Hoffmann, SLP-CCC
• Benjamin Hogge, M.A. BCBA

• Dermatology Physician in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.