Active NPIIndividual provider

Dr. Jaekeun Kim, MD, PHD, FACS

Transplant Surgery in Cleveland, Ohio

NPI Number1942715180
Practice location
9500 Euclid Ave, Cleveland, OH 44195-0002
Fax
—
Last updated
September 29, 2022

Jaekeun Kim is a Transplant Surgery based in Cleveland, OH. Jaekeun Kim practices in Cleveland, OH and has the professional credentials of MD, PHD, FACS. The NPI Number for Jaekeun Kim is 1942715180 and holds a License No. 283842 (MA). The current practice location address for Jaekeun Kim is 9500 Euclid Ave, Cleveland, OH 44195-0002 and can be reached out via phone at 216-444-0261.

Provider Profile Details

NPI Number
1942715180
Provider Name
Jaekeun Kim
Credential
MD, PHD, FACS
Provider Entity Type
Individual
Gender
Male
Address
9500 Euclid Ave, Cleveland, OH 44195-0002
Phone Number
216-444-0261
Primary Taxonomy
Transplant Surgery · 204F00000X
Sole Proprietor
No
Other Names
Dr. Jae Keun Kim, MD, PHD, FACS (Other Name)
Provider Enumeration Date
December 11, 2017
Last Update Date
September 29, 2022
Certification Date
September 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
9500 Euclid Ave
Cleveland, OH 44195-0002
State
Ohio
Zip
44195-0002
Phone Number
216-444-0261
Cleveland, OH 44195Get directions →

Provider Business Mailing Address Details

Address
101 Monmouth St Apt 414
Brookline, MA 02446-5612
City
Brookline
State
MA
Zip
02446-5612
Phone Number
617-935-3261

License Information

License Number (1)
283842
License State (1)
MA
Taxonomy (1)
Transplant Surgery · 204F00000X
License Number (2)
273758
License State (2)
MA
License Number (3)
35.145723
License State (3)
OH
Taxonomy (3)
Transplant Surgery · 204F00000X · 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 Dr. Jaekeun Kim, MD, PHD, FACS?

The NPI number of Dr. Jaekeun Kim, MD, PHD, FACS is 1942715180. It was assigned on December 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Jaekeun Kim, MD, PHD, FACS?

Dr. Jaekeun Kim, MD, PHD, FACS is registered under the primary taxonomy Transplant Surgery (code 204F00000X), licensed in MA under license number 283842.

Where does Dr. Jaekeun Kim, MD, PHD, FACS practice?

The practice location is 9500 Euclid Ave, Cleveland, OH 44195-0002. The office can be reached at 216-444-0261 (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 1942715180 directly on the NPPES registry website.

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