Jessica Kim (NPI# 1558700427, PAC ID# 1456610732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1558700427 |
| PAC ID by PECOS | 1456610732 |
| Professional Enrollment ID | I20191106002499 |
| Full Name | Jessica Kim |
| Organization Legal Name | EASTERN RADIOLOGIST INC |
| Address |
2101 W Arlington Blvd Suite 210 Greenville NC 27834-5758 |
| Phone Number | 2527525000 |
| Gender | F |
| Medical School | A T STILL UN, ARIZONA SCHL OF DENT.Y & ORAL HLTH |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2466355383 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340040 | VIDANT MEDICAL CENTER |
| 340109 | SENTARA ALBEMARLE MEDICAL CENTER |
| 340186 | VIDANT BEAUFORT HOSPITAL |
| 340142 | CARTERET GENERAL HOSPITAL |
| 340099 | VIDANT ROANOKE CHOWAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 | 2527525000 | EASTERN RADIOLOGIST INC |
| Organization Legal Name | EASTERN RADIOLOGIST INC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shana Noel Chase | Physician Assistant | Eastern Radiologist Inc | 630 E 11th St, Washington, NC 27889-3700 |
| Michael Robert Coan | Diagnostic Radiology | Eastern Radiologist Inc | 8 Doctors Park, Greenville, NC 27834-2801 |
| George Jordan Iii | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| Rebecca Woodard Staskelunas | Physician Assistant | Eastern Radiologist Inc | 8 Doctors Park, Greenville, NC 27834-2801 |
| Michael D Tripp | Diagnostic Radiology | Eastern Radiologist Inc | 8 Doctors Park, Greenville, NC 27834-2801 |
| Eric M Martin | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| James Arthur Hunter | Diagnostic Radiology | Eastern Radiologist Inc | 8 Doctors Park, Greenville, NC 27834-2801 |
| Myles L Reedy | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| Maureen Theresa Barry | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 100 Breast Imaging Center, Greenville, NC 27834-5758 |
| Douglas Picton | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| Street Address |
2101 W ARLINGTON BLVD SUITE 210 |
| City | GREENVILLE |
| State | NC |
| Zip | 27834-5758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Jordan Iii | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| Eric M Martin | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| Myles L Reedy | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| Maureen Theresa Barry | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 100 Breast Imaging Center, Greenville, NC 27834-5758 |
| Douglas Picton | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| Juliana Ballestero | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 110 Greenville Mri, Greenville, NC 27834-5758 |
| John E Wahlen | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 100 Breast Imaging Center, Greenville, NC 27834-5758 |
| Thomas Graham West | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 100 Breast Imaging Center, Greenville, NC 27834-5758 |
| Tobin Andrew Finizio Ii | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| Tiffany Lee Bonafe | Diagnostic Radiology | Eastern Radiologist Inc | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn Yn Knuckles | Obstetrics/gynecology | Carolina Clinic for Health and Wellness Pa | 2317 A Executive Park Cir, Greenville, NC 27834 |
| Sandra Bunch Walton | Clinical Nurse Specialist | 1990 Allen Rd B, Greenville, NC 27834-0058 | |
| Joseph L Murad | Obstetrics/gynecology | 1730 W 5th St, Greenville, NC 27834-1602 | |
| Samantha K Brown Cunningham | Psychologist, Clinical | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Purushothaman Muthukanagaraj | Psychiatry | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Robert E Delozier Iii | Nurse Practitioner | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Richelle L Smallwood | Clinical Social Worker | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Ashley J Britton | Psychologist, Clinical | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Sugaree G Ganzman | Nurse Practitioner | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Monica H Raynor | Clinical Social Worker | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Find all physicians in zip 27834 | |||
| City | GREENVILLE |
| Zip Code | 27834 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GREENVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jessica 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.