Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Kim, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003077769

Charles Kim, DO is an Anesthesiology in Lubbock, Texas. Qualified in 2008, 18 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in North Dakota and Texas.

Years since qualifying
18
Licensed in
ND, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3601 4th St
Lubbock, TX 79430-0002
Phone: (806) 743-3004
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 12344 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence BP10032227 (TX)

Record details

NPI number1003077769
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 24, 2008
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022
Mailing address906 Milwaukee Ave Apt 609, Lubbock, TX 79416-5965

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lubbock