MARIA KIM M.D. INTERNAL MEDICINE, LLC (NPI# 1982112421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982112421 |
| Entity Type | Organization |
| Organization Name | MARIA KIM M.D. INTERNAL MEDICINE, LLC |
| Practice Address |
111 Huntoon Memorial Hwy Rochdale MA 01542-1305 |
| Mailing Address |
99 Bjorklund Ave Worcester MA 01605-1068 |
| Practice Telephone | 5088924858 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Authorized Official Name | MARIA KIM (PHYSICIAN - INTERNIST) |
| Authorized Official Telephone | 5088689171 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | Hospitals |
| Street Address |
111 HUNTOON MEMORIAL HWY |
| City | ROCHDALE |
| State | MA |
| Zip Code | 01542-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306835129 | Odeta Hysenaj | Physician Assistant | 111 Huntoon Memorial Hwy, Innovative Physician Services LLC, Rochdale, MA 01542 | 2005-10-14 |
| 1518433630 | Rebecca Diana Taylor | Occupational Therapist | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1301 | 2018-10-16 |
| 1386126498 | Andea E Boczon | Occupational Therapist | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 | 2018-09-05 |
| 1710485149 | Hms Care Continuum LLC | Skilled Nursing Facility | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 | 2018-01-31 |
| 1932658499 | The Meadows Snf, LLC | Skilled Nursing Facility | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 | 2016-09-26 |
| 1699192203 | Vibra Hospital of Western Massachusetts, LLC | Long Term Care Hospital | 111 Huntoon Memorial Hwy, 1st Floor, Rochdale, MA 01542-1305 | 2014-03-20 |
| 1700221249 | Vibra Hospital of Western Massachusetts LLC | Skilled Nursing Facility | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 | 2013-05-09 |
| 1730402256 | Rebecca Joy St. Amand | Physician Assistant | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 | 2010-03-11 |
| 1700961125 | Springfield Park View Hospital, LLC | Long Term Care Hospital | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 | 2006-10-25 |
| 1528047669 | Leicester Nursing LLC | Skilled Nursing Facility | 111 Huntoon Memorial Hwy, Rochdale, MA 01542-1305 | 2006-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629559547 | Janice Lillian Scales | Occupational Therapist | The Meadows, 111 Huntoon Memorial Highway, Rochdale, MA 01542 | 2018-08-28 |
| 1407025513 | Elizabeth Catherine Langlois | Licensed Practical Nurse | 699 Stafford St, Rochdale, MA 01542 | 2008-02-22 |
| 1649653890 | Hope Bagley | Case Manager/Care Coordinator | 1 Hammond St, Rochdale, MA 01542-1010 | 2015-07-07 |
| 1538528823 | Melissa Petrillo | Counselor | 83 Charlton St, Rochdale, MA 01542-1015 | 2016-02-16 |
| 1740652155 | Megan Marie Bouchard | Speech-Language Pathologist | 5 River St, Rochdale, MA 01542-1121 | 2015-10-24 |
| 1437659711 | Michaella Rose Tretheway | Assistant Behavior Analyst | 300 Clark St, Rochdale, MA 01542-1211 | 2018-02-13 |
| 1770759987 | Wendy J Counihan-nelson | Occupational Therapist | 111 Huntoon Highway, Rochdale, MA 01542-1305 | 2008-05-07 |
| 1356762603 | Shawn Wojnarowicz | Student in an Organized Health Care Education/Training Program | 15 Pleasant St, Rochdale, MA 01542-1320 | 2014-01-03 |
| 1295164184 | Deborah Sanborn | Social Worker | 15 Pleasant St, Rochdale, MA 01542-1320 | 2013-11-01 |
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760676126 | Jay E Rosenfeld Md PC | Rehabilitation Hospital | 25 Hawkins Pl, Duxbury, MA 02332-4537 | 2007-08-29 |
| 1588854293 | Debra Maureen Clooney | Rehabilitation Hospital | 63 Bradley Rd, Weymouth, MA 02191-1901 | 2007-07-29 |
| 1629190269 | Mentor Abi, LLC | Rehabilitation Hospital | 1107 Middle St, Weymouth, MA 02190-1819 | 2007-04-04 |
| 1023139409 | Fs Commonwealth LLC | Rehabilitation Hospital | 333 Park St, Nerh Mclaughlin House, North Reading, MA 01864-2717 | 2007-04-03 |
| 1922128115 | Fs Commonwealth LLC | Rehabilitation Hospital | 17 Warren Ave, Nerh Warren House, Woburn, MA 01801-4936 | 2007-03-30 |
| 1639225600 | Center for Comprehensive Services | Rehabilitation Hospital | 13 Susan Road, S. Easton, MA 02375-1608 | 2007-01-25 |
| 1790329878 | Delta Projects, Inc. | Rehabilitation Hospital | 118 Allied Dr, Dedham, MA 02026-6146 | 2019-11-01 |
| 1932563665 | Danielle Young | Rehabilitation Hospital | 250 Pond St, Braintree, MA 02184-5351 | 2016-04-08 |
| 1851769533 | Spaulding Rehabilitation Hospital | Rehabilitation Hospital | 300 1st Ave, Charlestown, MA 02129-3109 | 2015-09-11 |
| 1962839316 | Encompass Health Rehabilitation Hospital of Braintree, LLC | Rehabilitation Hospital | 250 Pond St, Braintree, MA 02184-5351 | 2013-10-01 |
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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.