Suk Kew Kim, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0101027043 Issued in VA

Practice address

731 Utterback Store Rd
Great Falls, VA 22066-1508

Phone

(703) 450-1507

Fax

(703) 450-1507

NPI assigned

Feb 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982739611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 UTTERBACK STORE RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661508",
            "telephone_number": "703-450-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 UTTERBACK STORE RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661508",
            "telephone_number": "703-450-1507",
            "fax_number": "703-450-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUK",
        "middle_name": "KEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101027043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101027043",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sejla Jukic
• Perry Purshottam Kaneriya, MD
• Kiumars Karbasi, DDS
• Aras Frank Kay, M.D.
• Jordan Kfoury
• Kind Nest Academy LLC
• Kelsey Krause, PT, DPT
• Leila I. Kump, M.D.
• Chrystyna P. Kuzmowych, O.D.
• Robert Rowan La Barre, M.D.

• Anesthesiology Physician in Great Falls, VA
• Providers in Great Falls, VA by specialty
• Anesthesiology Physician in Virginia

• 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.