STEPHEN S KIM M.D. NPI 1942390836

NPI Information

NPI: 1942390836
Provider Name: STEPHEN S KIM, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA
ZIP 22031
Phone: (703) 560-2236
Get Directions

Stephen S Kim, M.D. is a pediatric surgery surgery in Fairfax, VA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Stephen S Kim, M.D. NPI is 1942390836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA
ZIP 22031-513
Phone: (703) 560-2236
Fax: (571) 665-6834

The NPI 1942390836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 5/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		0101243334	VIRGINIA	No
2	2086S0120X	Surgery	Pediatric Surgery	0101243334	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8390668	MEDICAID	WASHINGTON
2	279750	OTHER		INTERNAL ID-MOTOR VEHICLE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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