Active NPI
Babiano M. S. Kim, M. D., P.C.
Doing business as N/a
- Urology Physician
- Taylor, MI
National Provider Identifier
1982894424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301044759
- Legal business name
- BABIANO M. S. KIM, M. D., P.C.
- Doing business as
- N/a
- Practice address
- 21210 Goddard Rd
Taylor, MI 48180-4264 - Phone
- (313) 295-1842
- Fax
- (313) 295-1932
- NPI assigned
- Jul 31, 2007
- Last updated
- Jul 15, 2008
- Organization subpart
- Yes
- Parent organization
- N/A
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Babiano M.S. Kim, MD
- Title
- Dr.
- Phone
- (313) 295-1842
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4301044759 | MI | Primary |
Addresses
Primary practice location
21210 Goddard Rd
Taylor, MI 48180-4264
Mailing address
21210 Goddard Rd
Taylor, MI 48180-4264
Phone (313) 295-1842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1565670 | Medicaid | MI |
Other names 1
- N/A
National Provider Directory
National Provider Directory- Part of
- Babiano M S Kim MD PC
Locations
21210 Goddard Rd
Taylor, MI 48180
Phone (313) 295-1842
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1982894424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21210 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481804264",
"telephone_number": "313-295-1842",
"fax_number": "313-295-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21210 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481804264",
"telephone_number": "313-295-1842",
"fax_number": "313-295-1932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BABIANO M. S. KIM, M. D., P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "N/A",
"enumeration_date": "2007-07-31",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "BABIANO",
"authorized_official_middle_name": "M.S.",
"authorized_official_title_or_position": "DR.",
"authorized_official_telephone_number": "313-295-1842",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301044759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1565670",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "N/A",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.