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MICHAEL KWANGSOO KIM M.D. NPI 1366400590


NPI Information

NPI: 1366400590
Provider Name: MICHAEL KWANGSOO KIM, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: BRUECK, GOLOSOW, KIM AND ASSOCIATES

PECOS Registration: Yes

Address:
3700 CENTRAL AVE
STE 1
FORT MYERS, FL
ZIP 33901
Phone: (239) 939-5233
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Michael Kwangsoo Kim, M.D. is a plastic and reconstructive surgery surgery in Fort Myers, FL with 37 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Michael Kwangsoo Kim, M.D. NPI is 1366400590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

3700 CENTRAL AVE
STE 1
FORT MYERS, FL
ZIP 33901-649
Phone: (239) 939-5233
Fax: (239) 939-9225

The NPI 1366400590 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)

The enumeration date for this NPI number is 5/4/2006 and was last updated on 5/11/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryME78833FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G000391MEDICARE UPINFLORIDA
249398YMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.