David Dae We Kim, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2024-03137 Issued in NC

Practice address

970 W Wooster St
Suite 129
Bowling Green, OH 43402

Phone

(419) 728-0640

NPI assigned

Feb 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, NC2 enrollments

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 2

Specialty

General Surgery

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Wood Health Company LLCGroup PAC ID 7911800461, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
• Wood County Hospital Hospital, Bowling Green, OH, CCN 360029
• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dkim1579335@direct.novanthealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment Care Compare group NPD
• Wood Health Company LLC

  • Family Medicine Physician
  • Bowling Green, OH
  • NPI 1598776916
  Medicare reassignment Care Compare group
• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418
  Medicare reassignment NPD
• Mercy Health Physicians-North LLC

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1609000769
  Medicare reassignment NPD
• Mercy Medical Partners Northern Region LLC

  • Multi-Specialty Clinic/Center
  • Defiance, OH
  • NPI 1669756532
  Medicare reassignment NPD
• Mercy Medical Partners Northern Region Specialty Care LLC

  • Surgery Physician
  • Defiance, OH
  • NPI 1730701749
  Medicare reassignment NPD
• North East Ohio Group Practice LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1063575462
  Medicare reassignment NPD
• River Valley Physicians, LLC

  • Multi-Specialty Clinic/Center
  • East Liverpool, OH
  • NPI 1891756870
  Medicare reassignment NPD
• Mercy Health Physicians - North, LLC

  • Customized Equipment (DME)
  • Perrysburg, OH
  • NPI 1992358766
  NPD
• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Toledo, OH
  • NPI 1235891672
  NPD
• Mercy Medical Partners Northern Region LLC

  • Durable Medical Equipment & Medical Supplies
  • Napoleon, OH
  • NPI 1710405808
  NPD
• Mercy Medical Partners Northern Region Specialty Care LLC

  • Customized Equipment (DME)
  • Defiance, OH
  • NPI 1043972482
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wood County Hospital Assn

  • General Acute Care Hospital
  • Bowling Green, OH
  • NPI 1790751253
  Care Compare affiliation
• Forsyth Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• Northern Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare affiliation

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

{
    "created_epoch": "1329523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1861765083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 W WOOSTER ST",
            "address_2": "SUITE 129",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022652",
            "telephone_number": "419-728-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 W WOOSTER ST",
            "address_2": "SUITE 129",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-728-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "DAE WE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-18",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34013505",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2024-03137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark Joseph Kleeberger, PTA
• Julie Marie Knapp
• Michael H. Kolb
• Cheryl A Konecny, RPH

• Surgery Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.