Active NPI
Wook H Kim, MD
- Obstetrics & Gynecology Physician
- Golden Valley, MN
National Provider Identifier
1902892656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MN23196
- Practice address
- 5685 Duluth St
Golden Valley, MN 55422-4054 - Phone
- (763) 541-1280
- Fax
- (763) 541-1012
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MN23196 | MN | Primary |
Addresses
Primary practice location
5685 Duluth St
Golden Valley, MN 55422-4054
Mailing address
5685 Duluth St
Golden Valley, MN 55422-4054
Phone (763) 541-1280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0713034 | Other | MN | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN23196 | MN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| IHS Midwest PC | Past | Accepting new patients | |
| Midway Healthcare Services PA | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1902892656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5685 DULUTH ST",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224054",
"telephone_number": "763-541-1280",
"fax_number": "763-541-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5685 DULUTH ST",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224054",
"telephone_number": "763-541-1280",
"fax_number": "763-541-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "WOOK",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "MN23196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0713034",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.