Ji Yong Kim, CNIM, R. EP. T.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

2301 West Sanoque CT
Gilbert, AZ 85298

Phone

(720) 503-5711

NPI assigned

Dec 23, 2015

Last updated

Dec 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Arizona Iom LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Gilbert, AZ
  • NPI 1831577139
  NPD (past)
• Scottsdale Professional LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Queen Creek, AZ
  • NPI 1790217792
  NPD (past)

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1952766602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "MILAM",
            "state": "TX",
            "postal_code": "759590096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 WEST SANOQUE CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85298",
            "telephone_number": "720-503-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JI YONG",
        "credential": "CNIM, R. EP. T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaylah Kilgus
• Annie Giang Kim, DNP, CNM
• Charles Min Kim, MD
• Hack Jae Kim, M.D.
• Heidi Christina Kim, IBCLC
• Stephanie Robyn Kimberly, LPC
• Alicia Marie Kimura, APRN, FNP
• Andrew Peter Philip Kinahan, MD
• Spencer Kincheloe
• Kind Hearts LLC (Adult Developmental Home)

• Electroneurodiagnostic Specialist/Technologist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Electroneurodiagnostic Specialist/Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.