CANDACE KIM (NPI# 1952377079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952377079 |
Entity Type | Individual |
Full Name | CANDACE KIM |
Credential | M.D. |
Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
Practice Telephone | 5083341000 |
Mailing Telephone | 5083341000 |
Enumeration Date | 2006-02-28 |
Last Update Date | 2014-06-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
224029 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 2108739 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992355473 | Candace Bahk Kim | Chiropractor | 6225 Brandon Ave Ste 175, Springfield, VA 22150-2519 | 2019-09-16 |
1801972930 | Candace Minor Kim | Occupational Therapist | 4150 Clement St (117), San Francisco, CA 94121 | 2006-10-31 |
1639306319 | Candace Taeyun Kim | Social Worker | 13652 Cantara St, Panorama City, CA 91402-5423 | 2009-06-19 |
Street Address |
55 LAKE AVE N |
City | WORCESTER |
State | MA |
Zip Code | 01655-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
Find all providers in zip 01655 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 |
---|---|---|---|---|
1164993291 | Worcester Physicians and Nurses Services LLC | Internal Medicine | 100 Grove St Ste 210, Worcester, MA 01605-2627 | 2018-12-16 |
1376038257 | Lenka Maria Drahoradova | Internal Medicine | 119 Belmont St, Worcester, MA 01605-2903 | 2018-06-25 |
1639466592 | Shirley Pak So | Internal Medicine | 119 Belmont St, Worcester, MA 01605-2903 | 2011-06-29 |
1629238951 | Tinevimbo Jaravaza | Internal Medicine | 277 E Mountain St, Worcester, MA 01606-1207 | 2008-06-10 |
1295905115 | Kouta Ito | Internal Medicine | 119 Belmont St, Worcester, MA 01605-2903 | 2008-03-06 |
1689871899 | Adnan Haider | Internal Medicine | 630 Plantation St, Worcester, MA 01605-2038 | 2007-06-29 |
1477633600 | Joel S Bauman | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2006-10-16 |
1679517510 | David A Wilner | Internal Medicine | 277 E Mountain St, Worcester, MA 01606-1207 | 2006-06-14 |
1699749309 | Jeffrey B Burl | Internal Medicine | 630 Plantation St, Worcester, MA 01605 | 2006-02-17 |
1285616888 | Vijay K Kajla | Internal Medicine | 630 Plantation St, Worcester, MA 01605 | 2005-11-18 |
Find all providers in WORCESTER |
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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.