Dr. Andrew C Kim, MD
Orthopaedic Surgery in Arcata, CA. Individual provider (NPI-1).
NPI number1609978618
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1609978618
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew C Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2006
- Certification date
- Dec 3, 2020
- Last updated
- Jun 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORTHOPEDIC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | M-1786 | GU | Yes |
| 207X00000X | Orthopaedic Surgery | G45641 | CA |
Practice location
Mad River Orthopaedics & Sports Medicine3798 Janes Road Suite 5
Arcata, CA 95521
Phone 707-826-8244 · Fax 707-826-8252
Mailing address
Guam Sda Clinic. 388 Ypao Rd.Tamuning, GU 96913
Phone 671-646-8881
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Other Orthopaedic Surgery Physician providers in Arcata, CA
- Alessandra Amy Elizabeth Ross MD INCNPI 1093181075
- Robert Charles Lyell, MDNPI 1487751749
- North Coast Orthopaedics & Sports MedicineNPI 1871683458
- Alessandra Amy Elizabeth Ross, MDNPI 1275643199
All 5 Orthopaedic Surgery Physician providers in Arcata · All 977 providers in Arcata
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