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YOUNGHOON GIM
NPI 1215863519
Physician Assistant in Fort Leonard Wood, MO

Active since June 23, 2026
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473(573) 596-0035 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Younghoon Gim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUNGHOON GIM (NPI 1215863519) is an individual physician assistant in Fort Leonard Wood, Missouri and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1215863519
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameYOUNGHOON GIM
Location Address4234 ILLINOIS AVEFort Leonard Wood, MO 65473
Mailing Address4234 Illinois AveFort Leonard Wood, MO 65473 · (573) 596-0035
Phone(573) 596-0035
Sole ProprietorNo
Enumeration DateJune 23, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1215863519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4234 ILLINOIS AVE, Fort Leonard Wood, MO 65473
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALLIE JUHAS
Occupational Therapist
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
STEPHEN LINDSEY DUNAWAY LCSW
Social Worker (Clinical)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0522
SHAYLA AMOS MD
Family Medicine
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1765
DR. KAYETTE MARIE GLASS PSY.D.
Psychologist (Clinical)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0522
ACH LEONARD WOOD
Military Hospital (Military General Acute Care Hospital)
4234 ILLINOIS AVE, BOX 1242
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
DANIELLE R CARTER RD LD
Dietitian, Registered
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-9091
ANGELA HUSONG FNP
Nurse Practitioner (Family)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-6920
DR. PHILLIP GENE FELLWOCK PSY.D.
Psychologist
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (417) 235-2320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Younghoon Gim's NPI number?

The NPI number for Younghoon Gim is 1215863519. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Younghoon Gim located?

Younghoon Gim practices at 4234 Illinois Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0035.

What is Younghoon Gim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Younghoon Gim was last updated on June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.