DR. SUE YEUN KIM (NPI# 1629061247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629061247 |
| Entity Type | Individual |
| Full Name | DR. SUE YEUN KIM |
| Credential | MD |
| Practice Address |
140 Hoverhill St Andover Ob/gyn Andover MA 01810 |
| Practice Telephone | 9784752731 |
| Practice Fax Number | 9789752536 |
| Mailing Telephone | 9784752731 |
| Mailing Fax Number | 9789752536 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2010-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 14627 | NH | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 232566 | MA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD11434 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773577 | Sue Young Kim | Speech-Language Pathologist | 1704 Hopefield Rd, Silver Spring, MD 20905-4112 | 2019-04-30 |
| 1710466248 | Sue Vin Kim | Dentist | 1308 Orchard Ave, Los Angeles, CA 90006-4712 | 2018-08-06 |
| 1194184804 | Sue Young Kim | Dentist | 1515 Crenshaw Blvd, Torrance, CA 90501-2436 | 2016-02-23 |
| 1972986107 | Sue Kim | Dentist | 24128 130th Ave Se, Kent, WA 98030-9209 | 2015-07-07 |
| 1942603691 | Sue Kim | Pharmacist | 24624 Van Zandt Ave, Little Neck, NY 11362-1239 | 2014-10-08 |
| 1245661719 | Sue Kim | Specialist | 3636 172nd St, #86, Flushing, NY 11358-2397 | 2013-12-09 |
| 1124280987 | Sue Kim | Physician Assistant | 9201 W Sunset Blvd Ste 404, Los Angeles, CA 90069-3705 | 2008-07-01 |
| 1164509097 | Sue Kim | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2006-10-31 |
| 1649249889 | Sue H Kim | Psychologist | One Chalet Dr Ste 106, The Summit Executive Offices, Wilton, NH 03086-0844 | 2006-03-17 |
| 1124014642 | Sue Kim | Otolaryngology | 3633 W Lake Ave, Suite 300, Glenview, IL 60026-5805 | 2005-09-20 |
| Street Address |
140 HOVERHILL ST ANDOVER OB/GYN |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366599474 | Marie A Drouin | Obstetrics & Gynecology | 60 Wild Rose Dr, Andover, MA 01810-4620 | 2007-01-04 |
| 1417064080 | Thomas Edward Davidson | Obstetrics & Gynecology | Andover Ob/gyn, 140 Haverhill, Andover, MA 01810 | 2006-08-23 |
| 1841267390 | Abby A Smith | Obstetrics & Gynecology | 323 Lowell St Ste 302, Andover, MA 01810-4501 | 2006-03-03 |
| 1700069820 | Sarah Bethany Finch | Obstetrics & Gynecology | 140 Haverhill St, Andover, MA 01810 | 2007-12-12 |
| 1245316389 | Andrea B Polonsky | Obstetrics & Gynecology | 140 Haverhill St, C/o Andover Ob/gyn, Andover, MA 01810-1550 | 2006-10-31 |
| 1366480667 | Elise E Saks | Obstetrics & Gynecology | 140 Haverhill Street, Andover Ob/gyn, Andover, MA 01810 | 2006-06-02 |
| 1184661761 | Edwin C Radke | Obstetrics & Gynecology | 140 Haverhill Street, Andover Ob/gyn, Andover, MA 01810 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205037 | The Practice Ob/gyn Steward, PC | Obstetrics & Gynecology | 275 Varnum Ave Ste 103, Lowell, MA 01854-2109 | 2020-08-12 |
| 1558905570 | Alliance Ob Gyn LLC | Obstetrics & Gynecology | 380 Merrimack St Ste 2a, Methuen, MA 01844-5871 | 2019-11-01 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1164909925 | Estefania D. Rivera Mudafort | Obstetrics & Gynecology | 850 Harrison Ave Fl 5, Boston, MA 02118-4001 | 2018-07-25 |
| 1376035881 | Erika R Wallace | Obstetrics & Gynecology | 800 Washington Street #22, Obgyn Residency Office, Boston, MA 02111 | 2018-05-31 |
| 1649760851 | Andrea Jaresova | Obstetrics & Gynecology | 330 Brookline Ave # Shapiro8, Boston, MA 02215-5491 | 2018-05-14 |
| 1063920767 | Jean Wilner Noel | Obstetrics & Gynecology | 11 Nevins St Ste 302, Boston, MA 02135-3514 | 2018-01-16 |
| 1740705243 | Ronan Paul Sugrue | Obstetrics & Gynecology | 75 Francis Street Brigham and Womens' Hospital, Department of Obstetrics and Gynecology, Boston, MA 02115 | 2017-08-07 |
| 1386173144 | Matthew Shear | Obstetrics & Gynecology | 330 Brookline Ave # 3, Boston, MA 02215-5400 | 2017-06-06 |
| Find all providers with the same taxonomy | ||||
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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.