Un Ju Kim (NPI# 1447543632, PAC ID# 2365714730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1447543632 |
| PAC ID by PECOS | 2365714730 |
| Professional Enrollment ID | I20170818002307 |
| Full Name | Un Ju Kim |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
13245 Reese Blvd W Suite 100 Huntersville NC 28078-6390 |
| Phone Number | 7043163142 |
| Gender | F |
| Medical School | A T STILL UN, ARIZONA SCHL OF DENT.Y & ORAL HLTH |
| Graduation Year | 2011 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13245 Reese Blvd W, Suite 100, Huntersville, NC 28078-6390 | 7043163142 | NOVANT MEDICAL GROUP INC |
| 186 Kimel Park Dr, Winston Salem, NC 27103-6946 | 3362772000 | FORSYTH MEMORIAL HOSPITAL INC |
| 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 3362778800 | FORSYTH MEMORIAL HOSPITAL INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
13245 REESE BLVD W SUITE 100 |
| City | HUNTERSVILLE |
| State | NC |
| Zip | 28078-6390 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Jonathan Badenhop | Physical Therapy | Novant Medical Group Inc | 13245 Reese Blvd W, Suite 100, Huntersville, NC 28078-6390 |
| Nicholas Nappi-kaehler | Physical Therapy | Novant Medical Group Inc | 13245 Reese Blvd W, Suite 100, Huntersville, NC 28078-6390 |
| Charliann Scott Viviano | Physical Therapy | Novant Medical Group Inc | 13245 Reese Blvd W, Suite 100, Huntersville, NC 28078-6390 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy C Le | Internal Medicine | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
| Stacy K Mullet | Nurse Practitioner | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
| Mary C Head | Nurse Practitioner | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
| Yvonne Verla Tah | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Kimberly Mae Clements | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Nancy E Frye | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Amber Childers Giordano | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Leanna J Worsham | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Christine E Lemley | Optometry | 6634 April Mist Trl, Huntersville, NC 28078-2322 | |
| Amy N Scala | Physical Therapy | Holston Medical Group PC | 10210 Hickorywood Hill Ave, Suite 120, Huntersville, NC 28078-3345 |
| Find all physicians in zip 28078 | |||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | HUNTERSVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.