Gregory Y Kim MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GREGORY Y KIM MD PC

Practice address

300 Medical Pkwy
Suite 200
Chesapeake, VA 23320-4985

Phone

(757) 686-3508

Fax

(757) 686-0541

NPI assigned

Oct 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Y Kim, MD

Title

Owner

Phone

(757) 686-3508

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952482523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY",
            "address_2": "SUITE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY Y KIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-686-3508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leola Denise Greene, LMT
• Valerie Greene
• Debbie V Greenidge, NURSE PRACTITIONER
• Stefanie Edwards Greer, RDN, LDN
• Carolyn Y Gregor-Glass
• David Gregory, PT
• Jerissa Raquel Gregory
• Jessica Gregory, NP
• Sarah Gregory, PA-C
• Jessica Dee Gregson, CRNA

• Surgery Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.