Yong Mook Kim, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD035459L Issued in PA

Practice address

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114

Phone

(610) 284-8300

Fax

(610) 284-8312

NPI assigned

Aug 1, 2006

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Delco Radiologic Associates

  • Diagnostic Radiology Physician
  • Drexel Hill, PA
  • NPI 1134576507
  NPD (past)
• Thomas a. Diliberto, D.O.

  • Diagnostic Radiology Physician
  • Drexel Hill, PA
  • NPI 1619998622
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962418657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7780-1760",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191820001",
            "telephone_number": "610-734-0630",
            "fax_number": "610-734-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-284-8300",
            "fax_number": "610-284-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YONG",
        "middle_name": "MOOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD035459L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin-Lee Kelly, MA NCP-GSA
• Margaret Anne Kennedy, LAPC
• William Kessler, DMD
• In-Sik Kim, PHARM D
• Yesle Kim, D.M.D.
• Peter L King, D.P.M.
• Frank Kishel, PHARMD
• Suzanne Kelly Kline, PA-C
• Tasha Petropoulos Knob, LCSW
• Victor Dragon Ko, M.D.

• Diagnostic Radiology Physician in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.