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NPI 1982607933ActiveOrganization· Specialist· Cumberland, MD

Specialist in Cumberland, Maryland, registered in NPPES in May 2005. The authorized official on file is Jong K. Kim, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1982607933
StatusActive
Entity typeOrganization
NPI issuedMay 23, 2005
Last updated in NPPESAug 16, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

Other Specialist providers in Cumberland

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