Active NPIIndividual providerSole proprietor

Young Shin Kim, MD

Family Medicine in Beachwood, Ohio

NPI Number1023244100
Practice location
26900 Cedar RD Ste 22N, Beachwood, OH 44122-8116
Fax
—
Last updated
December 7, 2022

Young Shin Kim is a Family Medicine based in Beachwood, OH. Young Shin Kim practices in Beachwood, OH and has the professional credentials of MD. The NPI Number for Young Shin Kim is 1023244100 and holds a License No. 0101245792 (VA). The current practice location address for Young Shin Kim is 26900 Cedar RD Ste 22N, Beachwood, OH 44122-8116 and can be reached out via phone at 216-839-3000.

Provider Profile Details

NPI Number
1023244100
Provider Name
Young Shin Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
26900 Cedar RD Ste 22N, Beachwood, OH 44122-8116
Phone Number
216-839-3000
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 3, 2009
Last Update Date
December 7, 2022
Certification Date
December 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
26900 Cedar RD Ste 22N
Beachwood, OH 44122-8116
State
Ohio
Zip
44122-8116
Phone Number
216-839-3000
Beachwood, OH 44122Get directions →

Provider Business Mailing Address Details

Address
10, Ewhayeodae 1-GIL, Seodaemun-Gu
Yesapm # 1107
Seoul, SEOUL 03766
City
Seoul
State
SEOUL
Zip
03766

License Information

License Number (1)
0101245792
License State (1)
VA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
35.147008
License State (2)
OH
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Young Shin Kim, MD?

The NPI number of Young Shin Kim, MD is 1023244100. It was assigned on June 3, 2009 and is currently active in the NPPES registry.

What is the specialty of Young Shin Kim, MD?

Young Shin Kim, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VA under license number 0101245792.

Where does Young Shin Kim, MD practice?

The practice location is 26900 Cedar RD Ste 22N, Beachwood, OH 44122-8116. The office can be reached at 216-839-3000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023244100 directly on the NPPES registry website.

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