Active NPI
Won Hee Kim MD
- Internal Medicine Physician
- Jenkintown, PA
National Provider Identifier
1871652693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD421134
- Legal business name
- WON HEE KIM MD
- Practice address
- 309 Florence Ave Apt 914N
Jenkintown, PA 19046-2613 - Phone
- (216) 342-2015
- Fax
- (215) 342-0360
- NPI assigned
- Dec 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wonhee Kim, M.D.
- Title
- Owner
- Phone
- (215) 342-2015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD421134 | PA | Primary |
| Pediatrics Physician | 208000000X | MD421134 | PA |
Addresses
Primary practice location
309 Florence Ave Apt 914N
Jenkintown, PA 19046-2613
Mailing address
309 Florence Ave Apt 914N
Jenkintown, PA 19046-2613
Phone (216) 342-2015
Other practice location 1
6816 Castor Ave
Philadelphia, PA 19149-2106
Phone (216) 342-2015
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011001010002 | Medicaid | PA | |
| 1083654214 | Other | PA | NPI |
| MD421134 | Other | PA | MEDICAL LICENSE |
| 1913496 | Other | PA | HIGHMARK ASSIGNMENT ACCOU |
National Provider Directory
National Provider DirectoryLocations
309 Florence Ave
Apt 914N
Jenkintown, PA 19046
Phone (215) 342-2015
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Jenkintown, PA
- NPI 1083654214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1871652693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 FLORENCE AVE APT 914N",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462613",
"telephone_number": "216-342-2015",
"fax_number": "215-342-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 FLORENCE AVE APT 914N",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462613",
"telephone_number": "216-342-2015",
"fax_number": "215-342-0360"
}
],
"practiceLocations": [
{
"address_1": "6816 Castor Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191492106",
"country_code": "US",
"telephone_number": "216-342-2015",
"fax_number": "215-342-0360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WON HEE KIM MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-07",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "WONHEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-342-2015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD421134",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "PA",
"license": "MD421134",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011001010002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1083654214",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD421134",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK ASSIGNMENT ACCOU",
"identifier": "1913496",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.