Larry Jin Kim (NPI# 1639411838, PAC ID# 0345544532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1639411838 |
| PAC ID by PECOS | 0345544532 |
| Professional Enrollment ID | I20170816000019 |
| Full Name | Larry Jin Kim |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Address |
6630 University Ave Middleton WI 53562-3036 |
| Phone Number | 6082636540 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 6608785464 |
| Number of Group Practice Members | 1845 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 621 Science Dr, Madison, WI 53711-1074 | 6082638400 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 6630 University Ave, Middleton, WI 53562-3036 | 6082636540 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Physicians | 1953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Nowak | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| Ronak Mehta | Family Medicine | University of Wisconsin Medical Foundation Inc | 4590 County Rd N, Cottage Grove, WI 53527-9208 |
| Kimberly E Daniel | Gastroenterology | University of Wisconsin Medical Foundation Inc | 750 University Row, Madison, WI 53705-1311 |
| James D Thompson | Otolaryngology | University of Wisconsin Medical Foundation Inc | 600 Highland Ave, Madison, WI 53792-0001 |
| Katherine A Mccreary | Family Medicine | University of Wisconsin Medical Foundation Inc | 5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376 |
| Adam James Blanchard | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 |
| Emily J Staudt | Physician Assistant | University of Wisconsin Medical Foundation Inc | 4131 Meridian Dr, Windsor, WI 53598-9699 |
| Muhammad S Karim | Nephrology | University of Wisconsin Medical Foundation Inc | 4600 American Pkwy, Suite 108, Madison, WI 53718-8337 |
| Gillian I Silberzahn | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5115 N Biltmore Ln, Madison, WI 53718-2161 |
| Sara E Odonnell | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5618 Odana Rd, Madison, WI 53719-1208 |
| Street Address |
6630 UNIVERSITY AVE |
| City | MIDDLETON |
| State | WI |
| Zip | 53562-3036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Hogendorn | Physical Medicine and Rehabilitation | University of Wisconsin Medical Foundation Inc | 6630 University Ave, Middleton, WI 53562-3036 |
| Melissa A Villegas | Physical Medicine and Rehabilitation | University of Wisconsin Medical Foundation Inc | 6630 University Ave, Middleton, WI 53562-3036 |
| Lisa K Collins | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 6630 University Ave, Middleton, WI 53562-3036 |
| Stephan M Deutsch | Physical Medicine and Rehabilitation | University of Wisconsin Medical Foundation Inc | 6630 University Ave, Middleton, WI 53562-3036 |
| Kristin E Caldera | Physical Medicine and Rehabilitation | University of Wisconsin Medical Foundation Inc | 6630 University Ave, Middleton, WI 53562-3036 |
| Benjamin T Gillespie | Physical Medicine and Rehabilitation | University of Wisconsin Medical Foundation Inc | 6630 University Ave, Middleton, WI 53562-3036 |
| Kyle H Mclean | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 6630 University Ave, Middleton, WI 53562-3036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Patrick Huemmer | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 6705 University Ave, Middleton, WI 53562 |
| Tracy C Francis-nguyen | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 6705 University Ave, Middleton, WI 53562 |
| Anthony J Braus | Hospice/palliative Care | Agrace Palliative Care LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Sandra K Seuser | Physical Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Charles O Awiti | Occupational Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Andrea J Mysliwiec | Physical Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Rhonda Kay Weber | Speech Language Pathologist | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Sara A Anderson | Physical Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Charlotte R Steckelberg | Occupational Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Liberty L Siebrecht | Speech Language Pathologist | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Find all physicians in zip 53562 | |||
| City | MIDDLETON |
| Zip Code | 53562 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | MIDDLETON + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Larry Jin 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.