Kim Simic MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01040307B Issued in IN

Legal business name

KIM SIMIC MD INC

Practice address

297 W. Franciscan Dr.
Suite 108
Crown Point, IN 46307-4858

Phone

(219) 681-6830

NPI assigned

Sep 7, 2012

Organization subpart

No

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

Authorized official

Name

Kim Simic, M.D.

Title

President

Phone

(219) 681-6830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1992054712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 THORNBURY DR. W",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830816",
            "telephone_number": "219-681-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 W. FRANCISCAN DR.",
            "address_2": "SUITE 108",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074858",
            "telephone_number": "219-681-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM SIMIC MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "SIMIC",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-681-6830",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01040307B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaley Kiepura
• Nicole Kieta
• Kristin Kikkert, PA-C
• Kristin A Kilinski, FNP-BC
• Kim a Kessler DDS PC
• Suk Chul Kim, M.D.
• Yun Ju Kim, M.D.
• Kims Extended Care Services of Northwest in.
• Edward F. King
• John Thomas King, M.D.

• Psychiatry Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.