Edward S Kim

MD | Pediatric Cardiology | Male

---

Complete Profile:

Edward S Kim basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Edward S Kim
Credential :	MD
Gender :	Male

Business Address:

Edward S Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	601 S Floyd St, Ste 602 Louisville, KY, 40202-1845 United States
Phone Number :	502-585-4802
Fax Number :	502-589-1256

Professional Identification Codes:

NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.

NPI Number :	1609083997
NPI Entity Type :	Individual
First Enrolment Date :	17 May, 2007
Last Updated On :	23 Oct, 2020

Medicare Participation:

Edward S Kim participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3274625413
Medicare Enrollment ID :	I20070817000483
Primary Specialty :	Pediatric Medicine
Medical School :	Ohio State University College Of Medicine
Graduation Year :	2000
Accepts Medicare?	Yes. Edward S Kim accepts medicare insurance.

Group Practice Association:

Edward S Kim is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Edward S Kim is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Norton Childrens Medical Group Llc	3779917596	109	411 E Chestnut St 5a Louisville, KY - 402021713 Ph: 5025887450	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward S Kim are as mentioned. Primary taxonomy code for Edward S Kim, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	40958	KY

Legacy Identifiers:

Other legacy medical identifiers of Edward S Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
7100005500	MEDICAID	KY

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 909 Louisville, KY, 40201-0909 United States
Phone Number :	502-585-4802
Fax Number :	502-589-1256

Business Location:

Patients can refer following map for directions to Edward S Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.