CANDACE KIM


Address: 55 Lake Ave N, Worcester, MA 01655-0002
Phone: 5083341000

CANDACE KIM (NPI# 1952377079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
224029 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 2108739 05

Other Providers CANDACE KIM

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

Office Location

Street Address 55 LAKE AVE N
City WORCESTER
State MA
Zip Code 01655-0002

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City WORCESTER
Zip Code 01655

Improve Information

Please comment or provide details below to improve the information on CANDACE KIM.

Dataset Information

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.

Trending Searches