Charles K Kim (NPI# 1700854411, PAC ID# 1850353814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700854411 |
| PAC ID by PECOS | 1850353814 |
| Professional Enrollment ID | I20060125000280 |
| Full Name | Charles K Kim |
| Organization Legal Name | NORTH MEMORIAL HEALTH CARE |
| Address |
965 Prairie Ctr Dr Suite 100 Eden Prairie MN 55344-3671 |
| Phone Number | 7635818110 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042123028 |
| Number of Group Practice Members | 488 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240001 | NORTH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 965 Prairie Ctr Dr, Suite 100, Eden Prairie, MN 55344-3671 | 7635818110 | NORTH MEMORIAL HEALTH CARE |
| Organization Legal Name | NORTH MEMORIAL HEALTH CARE |
| Physicians | 548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy M Danielson | Physician Assistant | North Memorial Health Care | 5615 Xerxes N Ave D, Brooklyn Center, MN 55430-2819 |
| Traci Roberts | Internal Medicine | North Memorial Health Care | 3300 Oakdale N Ave, Robbinsdale, MN 55422-2926 |
| Eucharia C Uche | Nurse Practitioner | North Memorial Health Care | 8200 42nd Ave N, New Hope, MN 55427-1100 |
| Kirstin Pfannenstein | Physician Assistant | North Memorial Health Care | 8559 Edinbrook Pkwy, Suite 100, Brooklyn Park, MN 55443-3728 |
| Jill L Titze | Nurse Practitioner | North Memorial Health Care | 3500 France Ave N, Suite 101, Robbinsdale, MN 55422-2809 |
| Rabia B Khan | Internal Medicine | North Memorial Health Care | 15535 - 34th Ave N, Plymouth, MN 55447-1481 |
| Farha S Khan | Endocrinology | North Memorial Health Care | 15450 Hwy 7 225, Minnetonka, MN 55345-3522 |
| Amy O Scheller | Physician Assistant | North Memorial Health Care | 2600 - 39th Ave Ne, St Anthony, MN 55421-4379 |
| Patrick D Loew | Physician Assistant | North Memorial Health Care | 12000 Elm Creek Blvd, Suite 130, Maple Grove, MN 55369-7073 |
| Kara M Hutton | Nurse Practitioner | North Memorial Health Care | 8301 Golden Valley Rd, Suite 100, Golden Valley, MN 55427-4469 |
| Street Address |
965 PRAIRIE CTR DR SUITE 100 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip | 55344-3671 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniela M Phillips | Family Medicine | North Memorial Health Care | 965 Prairie Ctr Dr, Suite 100, Eden Prairie, MN 55344-3671 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas G Frey | Psychologist, Clinical | 7525 Mitchell Rd, Suite 217, Eden Prairie, MN 55344-1957 | |
| Brent Alexander Kvam | Chiropractic | Healthstar Chiropractic Center Pa | 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1958 |
| Jordan Boekhout | Chiropractic | Healthstar Chiropractic Center Pa | 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1958 |
| Katherine E Kearney-bidwell | Chiropractic | Healthsource of Eden Prairie Pllc | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 |
| Dillon Andrew Riehle | Chiropractic | Healthsource of Eden Prairie Pllc | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 |
| Mallory A Skoff | Chiropractic | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 | |
| Elizabeth A Crowl | Physician Assistant | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Quincee Lynn Macgibbon | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Stephanie Augustin | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Robert J Zajac | Pediatric Medicine | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Find all physicians in zip 55344 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EDEN PRAIRIE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles K 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.