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

Mr. Jae Gyeom Kim, AA-S

Individual provider Anesthesiologist Assistant · NPI 1194257287

Mr. Jae Gyeom Kim, AA-S is an Anesthesiology Assistant in Saint Louis, Missouri. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2017, 9 years ago. Practices with Western Anesthesiology Associates Inc, a 254-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
MO
In the registry since
2017
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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (636) 386-9224
Fax: (636) 386-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2017016393 (MO)

Record details

NPI number1194257287
Entity typeIndividual (Type 1)
GenderMale
Credentials AA-S
Sole proprietorNo
NPI enumeratedMarch 29, 2017
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Western Anesthesiology Associates Inc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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