DR. DAE Y KIM M.D., PH.D NPI 1003000597

Urology in Tulsa, OK

About DAE KIM

Dae Kim is a provider in Tulsa, OK with more than 11 years of experience. The NPI number assigned to this provider is 1003000597. The practitioner's primary taxonomy code is Urology (208800000X). The provider is registered as an individual and their NPI record was last updated 3 years ago. Dae Kim is registered with Medicare and accepts claims assignment.

NPI

1003000597

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. DAE Y KIM M.D., PH.D
Provider Location Address1145 S UTICA AVE SUITE 202 TULSA, OK 74104 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1145 S UTICA AVE SUITE 202 TULSA, OK 74104 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-15-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. DAE Y KIM M.D., PH.D
1145 S UTICA AVE
SUITE 202
TULSA, OK
ZIP 74104
Phone: (918) 579-3130
Fax: (918) 579-3139
Get Directions

Mailing Address

DR. DAE Y KIM M.D., PH.D
1145 S UTICA AVE
SUITE 202
TULSA, OK
ZIP 74104
Phone: (918) 579-3130
Fax: (918) 579-3139

Primary Taxonomy

Taxonomy Code208800000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.31577
License StateOK
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
324649801 (MDACC)MEDICAID (05)TX
8EB319 (MDACC)OTHER (01)TX
312601YKQH (MDACC)MEDICARE PIN (08)TX

Map Location


DR. DAE Y KIM M.D., PH.D address is 1145 S UTICA AVE SUITE 202 TULSA, OK 74104

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114032539 PHILLIP RAY BERRY D.O.
Individual
Family Medicine (Adult Medicine)1145 S UTICA AVE SUITE 453
TULSA, OK 74104
(918) 596-7078
1124139126PAIN INSTITUTE OF TULSA, INC
Organization
Specialist1145 S UTICA AVE SUITE 364
TULSA, OK 74104
(918) 496-5195
1134199870MS. JULIA A SHIRK AU.D.
Individual
Audiologist1145 S UTICA AVE SUITE 302
TULSA, OK 74104
(918) 592-3737
1184688509 RAYMOND F SORENSEN DO
Individual
Pain Medicine (Pain Medicine)1145 S UTICA AVE SUITE 364
TULSA, OK 74104
(918) 496-5195
1194750240 JAMES COLDWELL MD
Individual
Pediatrics (Developmental – Behavioral Pediatrics)1145 S UTICA AVE SUITE 262
TULSA, OK 74104
(918) 579-3035
1205808847ANATOMIC PATHOLOGY SERVICES INC
Organization
Clinical Medical Laboratory1145 S UTICA AVE SUITE 367
TULSA, OK 74104
(918) 749-7964
1205883220DR. HAYSAM GHANNOUM MD
Individual
Internal Medicine1145 S UTICA AVE STE 1105
TULSA, OK 74104
(918) 579-5724
1255309019ID SPECIALISTS OF TULSA PC
Organization
Internal Medicine (Infectious Disease)1145 S UTICA AVE STE 800
TULSA, OK 74104
(918) 582-6343
1326028929DR. SUSAN D GREEN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1145 S UTICA AVE SUITE 365
TULSA, OK 74104
(405) 842-2061
1336165505AUDIOLOGY CONSULTANTS OF TULSA, INC
Organization
Hearing Aid Equipment1145 S UTICA AVE SUITE 302
TULSA, OK 74104
(918) 592-3737
1457389454 DEBORAH NOBLE BAIRD MD
Individual
Pediatrics (Developmental – Behavioral Pediatrics)1145 S UTICA AVE SUITE 262
TULSA, OK 74104
(918) 579-3035
1467422121DR. CAROL A LAMBERT AU.D.
Individual
Audiologist1145 S UTICA AVE SUITE 302
TULSA, OK 74104
(918) 592-3737
1497793095OKLAHOMA GASTROENTEROLOGY ASSOCIATES, PLLC
Organization
Internal Medicine (Gastroenterology)1145 S UTICA AVE SUITE 701
TULSA, OK 74104
(918) 582-6544
1689642902 DAVID NATHAN SCHECK MD
Individual
Internal Medicine (Infectious Disease)1145 S UTICA AVE STE 800
TULSA, OK 74104
(918) 582-6343
1750324844 SHASHI A HUSAIN M.D.
Individual
Specialist1145 S UTICA AVE SUITE 520
TULSA, OK 74104
(918) 587-5534
1780614396MR. THOMAS A HOFFMANN PHD
Individual
Psychologist (Counseling)1145 S UTICA AVE SUITE 364
TULSA, OK 74104
(918) 496-5195
1801811708 JONATHAN MARTIN ANTHONY MD
Individual
Anesthesiology1145 S UTICA AVE
TULSA, OK 74104
(918) 579-3646
1821036823CURTIS V. WOLF, II, M.D., P.C.
Organization
Ophthalmology1145 S UTICA AVE SUITE 362
TULSA, OK 74104
(918) 592-3937
1871562710DR. NICHOLAS DANIEL GOULD LMFT
Individual
Marriage & Family Therapist1145 S UTICA AVE SUITE 1013
TULSA, OK 74104
(918) 579-2935
1891711057HEARING SPECIALISTS OF TULSA, PLLC
Organization
Hearing Aid Equipment1145 S UTICA AVE SUITE 302
TULSA, OK 74104
(918) 592-3737