Andrew C Kim (NPI# 1184697625, PAC ID# 0345152674) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1184697625 |
| PAC ID by PECOS | 0345152674 |
| Professional Enrollment ID | I20100818000687 |
| Full Name | Andrew C Kim |
| Organization Legal Name | ALLEGIANCE INTERNAL MEDICINE SPECIALISTS, SC |
| Address |
2645 N Mayfair Rd Suite 200 Wauwatosa WI 53226-1304 |
| Phone Number | 4144791800 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7517156433 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520136 | WHEATON FRANCISCAN ST JOSEPH |
| 520177 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2645 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1304 | 4144791800 | ALLEGIANCE INTERNAL MEDICINE SPECIALISTS, SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ALLEGIANCE INTERNAL MEDICINE SPECIALISTS, SC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel H Idarraga | Internal Medicine | Allegiance Internal Medicine Specialists, Sc | 2645 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1304 |
| Street Address |
2645 N MAYFAIR RD SUITE 200 |
| City | WAUWATOSA |
| State | WI |
| Zip | 53226-1304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Hood | Chiropractic | 2645 N Mayfair Rd, Suite 140, Wauwatosa, WI 53226-1304 | |
| Samuel H Idarraga | Internal Medicine | Allegiance Internal Medicine Specialists, Sc | 2645 N Mayfair Rd, Suite 200, Wauwatosa, WI 53226-1304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette A Demuri | Psychiatry | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Kristi L Reynolds | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Mariellen Fischer | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Sarah J Ford | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Nicole E Heinrich | Clinical Social Worker | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Ilya Melina Ray | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Jennifer K Cicero | Clinical Social Worker | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Barbara J Reinke | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Mark O Pease | Nurse Practitioner | County of Walworth | 2600 N Mayfair Rd, Suite 305, Wauwatosa, WI 53226-1303 |
| Laura C Liguori | Psychologist, Clinical | Associated Mental Health Consultants Inc | 2600 N Mayfair, Suite 305, Wauwatosa, WI 53226-1303 |
| Find all physicians in zip 53226 | |||
| City | WAUWATOSA |
| Zip Code | 53226 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WAUWATOSA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Andrew C Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.