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

Jeffrey D. Kim, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1558311092

Jeffrey D. Kim, DO is a Sports Medicine in Erie, Pennsylvania. Graduated from University of New England, College of Osteo Medicine in 2003, 23 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Trained at
University of New England, College of Osteo Medicine
Licensed in
PA
In the registry since
2006
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 →

Practice location Address checks out

4247 W Ridge Rd Ste 105
Erie, PA 16506-1746
Phone: (814) 838-2468
Fax: (814) 835-2599
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS013025 (PA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence OS013025 (PA)

Record details

NPI number1558311092
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2003 (23 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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