King Health & Wellness, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

KING HEALTH & WELLNESS, LLC

Practice address

585 Murphy Rd
Medford, OR 97504

Phone

(541) 292-6464

Fax

(458) 225-9821

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Julie Ann King, MD, FACOGNPI 1376576991

Title

Owner/Provider

Phone

(541) 500-4747

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Julie Ann King, MD

  • Obstetrics & Gynecology Physician
  • Medford, OR
  • NPI 1376576991
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Bea Carlile, WHNP

  • Women's Health Nurse Practitioner
  • Grants Pass, OR
  • NPI 1750986097
  Medicare reassignment Care Compare group NPD
• Jessie Hibner, FNP

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1255853909
  Medicare reassignment Care Compare group NPD
• Elizabeth Roya Emami, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Medford, OR
  • NPI 1780604207
  NPD
• Douglas Guy Smith, OD

  • Optometrist
  • Medford, OR
  • NPI 1083786644
  NPD (past)

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1922734136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-292-6464",
            "fax_number": "458-225-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-292-6464",
            "fax_number": "458-225-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-500-4747",
        "authorized_official_credential": "MD, FACOG"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Kim
• Megan Kimball, LMSW
• Hannah Jane Kimbel
• Rebecca Ann Kimmel, PHARMD
• King Aesthetics, LLC
• Georgia King, M.A.
• Jasmyne King, QMHP
• Jeremy Richard King, DMD
• Julie Ann King, MD
• Karen Sue King

• Gynecology Physician in Medford, OR
• Providers in Medford, OR by specialty
• Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.