OrganizationActive
Hyetae Kim, MD, PA
NPI 1396873170 · Family Medicine Physician · Odessa, TX
Hyetae Kim, MD, PA is a Family Medicine Physician organization in Odessa, TX (NPI 1396873170).
Provider details
- NPI number
- 1396873170
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chad Haggerton, Business Office Mgr.(432) 550-5300
- License
- K1852 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1157 E 42nd St
Odessa, TX 79762-7723
Phone: (432) 550-5300
Fax: (432) 687-6299
Street-level locationGet directions
Mailing address
1157 E 42nd St
Odessa, TX 79762-7723
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2008-05-01
Frequently asked questions
- What is Hyetae Kim, MD, PA's NPI number?
- Hyetae Kim, MD, PA's National Provider Identifier (NPI) is 1396873170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hyetae Kim, MD, PA?
- Hyetae Kim, MD, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hyetae Kim, MD, PA located?
- Hyetae Kim, MD, PA's practice location on file with NPPES is 1157 E 42nd St, Odessa, TX 79762-7723.
- What is Hyetae Kim, MD, PA's phone number?
- The practice phone number listed in the NPPES registry for Hyetae Kim, MD, PA is (432) 550-5300.
- Who is the authorized official for Hyetae Kim, MD, PA?
- The authorized official listed on Hyetae Kim, MD, PA's NPPES record is Chad Haggerton, Business Office Mgr.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hyetae Kim, MD, PA's NPI active?
- Yes — Hyetae Kim, MD, PA's NPI (1396873170) is active in the NPPES registry as of the last update on 2008-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.