Individual provider Active NPI

John Howe Kim, M.D.

  • Obstetrics & Gynecology Physician
  • Easton, PA
National Provider Identifier
1801910427
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD055316L Issued in PA
Practice address
1108 Van Buren Rd
Suite 301
Easton, PA 18045-2034
Phone
(610) 923-0484
Fax
(610) 923-0485
NPI assigned
Mar 19, 2007
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD055316L PA Primary

Addresses

Primary practice location

1108 Van Buren Rd
Suite 301
Easton, PA 18045-2034

Mailing address

1108 Van Buren Rd
Suite 301
Easton, PA 18045-2034
Phone (610) 923-0484

Other identifiers 1

IdentifierTypeStateIssuer
0016686770004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000299 PA Practitioner - Obstetrics/Gynecology 2365456274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD055316LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Hospital CurrentSince Sep 9, 2012 Accepting new patients
St. Luke's Hospital Obstetrics & Gynecology CurrentSince Sep 9, 2012 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2015 Accepting new patients
St. Luke's Physician Group Inc. Obstetrics & Gynecology CurrentSince Jul 1, 2015 Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

450 Chew St
Allentown, PA 18102
Phone (610) 776-4802

450 Chew St
Ste 101
Allentown, PA 18102
Phone (610) 776-4565

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1801910427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 VAN BUREN RD",
            "address_2": "SUITE 301",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452034",
            "telephone_number": "610-923-0484",
            "fax_number": "610-923-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 VAN BUREN RD",
            "address_2": "SUITE 301",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452034",
            "telephone_number": "610-923-0484",
            "fax_number": "610-923-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOHN",
        "middle_name": "HOWE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD055316L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016686770004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.