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Deactivated NPI 1205877859 Deactivated / Inactive NPI Female Practitioner

Dr. Suh Kang Kim , MD

Pediatrics • Towson, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Suh Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2006
NPI Deactivation Date July 16, 2013
Total Practice Duration ~7 Years of Practice (2006 – 2013)

Professional Overview & Biography Verified Profile Summary

Dr. Suh Kim, MD was a registered Pediatrics practicing in Towson, MD. Throughout an active medical career spanning 7 years, Dr. Kim provided care at the practice location at 7600 OSLER DR until profile deactivation on 2013-07-16.

Practice Location & Contact Primary Location

Practice Address

7600 Osler Dr
Suite 310

Towson, MD 212047735

Telephone 4103378598
Fax 4102963444
Associated Practice Facility / Clinic
🏢 Jesse M. Hellman, M.d., P.a. Facility NPI 1619079159

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Towson, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
34 Specialists

Practicing in Towson, MD (1907 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MD D0012726

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
005701100 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1093782153

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location August 09, 2013

Registered at 7600 OSLER DR, SUITE 310, TOWSON, MD 212047735 (Tel: 4103378598)

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Updated Business Mailing Address August 09, 2013

Registered at 7600 OSLER DR, SUITE 310, TOWSON, MD 212047735 (Tel: 4103378598)

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Provider Name / Credentials Updated August 09, 2013

Recorded as SUH KIM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2013

Pediatrics (License #D0012726 in MD)

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NPI Profile Reactivated August 07, 2013

Record officially reactivated for active practice on August 07, 2013

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NPI Profile Deactivated July 16, 2013

Record deactivated on July 16, 2013

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Initial NPI Registration & Enumeration June 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205877859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: August 09, 2013
Deactivation Date: July 16, 2013
Sole Proprietor: Yes

Mailing Address

7600 Osler Dr, Suite 310

Towson, MD 212047735

Phone: 4103378598

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.