DR. KAY L KIM (NPI# 1578606968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578606968 |
| Entity Type | Individual |
| Full Name | DR. KAY L KIM |
| Other Name | DR. KAY L PARK |
| Credential | M.D. |
| Practice Address |
131 Old Road To 9 Acre Cor Suite 330 Concord MA 01742-4181 |
| Mailing Address |
135 Antrim St Unit 1 Cambridge MA 02139-1133 |
| Practice Telephone | 9782878767 |
| Practice Fax Number | 9782878766 |
| Mailing Telephone | 6172567195 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 230685 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
230685 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285883546 | Kay Kyung-hwa Kim | Acupuncturist | 1818 S. Western Ave, C/o Revival Health Center, Suite #302, Los Angeles, CA 90006-5862 | 2008-09-11 |
| 1669687232 | Kay J Kim | Acupuncturist | 246 Lombard St # A, Thousand Oaks, CA 91360-8219 | 2007-05-14 |
| 1154870236 | Kay Kim | Counselor | 515 Columbia Ave # 200, Los Angeles, CA 90017 | 2016-09-29 |
| Street Address |
131 OLD ROAD TO 9 ACRE COR SUITE 330 |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275519340 | Ingrid Anita Balcomb | Obstetrics & Gynecology | 131 Old Road To 9 Acre Cor, Suite 830, Concord, MA 01742-4181 | 2005-12-20 |
| 1831708361 | Leanna Eleanor Patterson | Nurse Practitioner | 131 Old Road To 9 Acre Cor, Concord, MA 01742-4181 | 2020-07-30 |
| 1821623075 | Krystina Monique San Soucie | Advanced Practice Midwife | 131 Old Road To 9 Acre Cor, Concord, MA 01742-4181 | 2020-03-09 |
| 1053781732 | Stephanie Sandwich | Registered Nurse | 131 Old Road To 9 Acre Cor, Suite 830, Concord, MA 01742-4181 | 2015-10-06 |
| 1659704872 | Erin M Rauker | Nurse Practitioner | 131 Old Road To 9 Acre Cor, Suite 830, Concord, MA 01742-4181 | 2013-08-12 |
| 1033492269 | Steven Herson Md | Internal Medicine | 131 Old Road To 9 Acre Cor, John Cuming Building Suite 650, Concord, MA 01742-4181 | 2011-09-23 |
| 1942580261 | Trista Brittany Phaneuf | Advanced Practice Midwife | 131 Old Road To 9 Acre Cor, John Cuming Building Suite 830, Concord, MA 01742-4181 | 2011-08-17 |
| 1225347909 | Emily Strehle | Obstetrics & Gynecology | 131 Old Road To 9 Acre Cor, Suite 830, Concord, MA 01742-4181 | 2010-09-29 |
| 1205144755 | Megan Loring | Obstetrics & Gynecology | 131 Old Road To 9 Acre Cor, Concord, MA 01742-4181 | 2010-09-17 |
| 1770742587 | Jonathan Benjamin Greene | Internal Medicine | 131 Old Road To 9 Acre Cor, Suite 330, Concord, MA 01742-4181 | 2008-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
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| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720413172 | John Muir Physician Network | Internal Medicine | 2700 Grant St, Suite 319, Concord, CA 94520-2266 | 2013-09-04 |
| 1962611657 | Manish Jain | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2007-05-21 |
| 1790782886 | Thomas Christopher | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194992834 | Vassilios James Bezzerides | Internal Medicine | 300 Longwood Ave # Enders12, Boston, MA 02115-5724 | 2008-05-12 |
| 1306857081 | Christopher A Clyne | Internal Medicine | 365 Highland Avenue, Fall River, MA 02720-3703 | 2006-08-10 |
| 1417949041 | Kimberly Anise Powers | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2005-08-19 |
| 1669097275 | Zain Sharif | Internal Medicine | 55 Fruit St, Boston, MA 02114 | 2020-06-09 |
| 1285110908 | Pierre Qian | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2018-07-16 |
| 1447764253 | Cardiovascular Center At Tufts Medical Center, Inc. | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2017-12-01 |
| 1659894012 | Aharon Erez | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2017-07-18 |
| 1568983179 | Allon Eyal | Internal Medicine | 185 Pilgrim Rd # Baker4, Boston, MA 02215-5324 | 2017-07-05 |
| 1811349673 | Audrey Dionne | Internal Medicine | 300 Longwood Ave, Cardiology Departement, Boston, MA 02115-5724 | 2016-07-05 |
| 1083000616 | Saagar Mahida | Internal Medicine | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02446 | 2015-04-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.