Daniel J Kim (NPI# 1013147255, PAC ID# 3577799956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1013147255 |
| PAC ID by PECOS | 3577799956 |
| Professional Enrollment ID | I20131112002094 |
| Full Name | Daniel J Kim |
| Organization Legal Name | OSU PHYSICAL MEDICINE AND REHABILITATION, LLC |
| Address |
2050 Kenny Rd Columbus OH 43221-3502 |
| Phone Number | 6142937604 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 7012960644 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360085 | OHIO STATE UNIVERSITY STATE HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 2050 Kenny Rd, Columbus, OH 43221-3502 | 6142937604 | OSU PHYSICAL MEDICINE AND REHABILITATION, LLC |
| Organization Legal Name | OSU PHYSICAL MEDICINE AND REHABILITATION, LLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Cook | Psychologist, Clinical | Osu Physical Medicine and Rehabilitation, LLC | 480 Medical Ctr Dr, Columbus, OH 43210-1229 |
| John H Vetter | Physical Medicine and Rehabilitation | Osu Physical Medicine and Rehabilitation, LLC | 543 Taylor Ave, Columbus, OH 43203-1278 |
| William S Pease | Physical Medicine and Rehabilitation | Osu Physical Medicine and Rehabilitation, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Velimir Matkovic | Physical Medicine and Rehabilitation | Osu Physical Medicine and Rehabilitation, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Albert Clairmont | Physical Medicine and Rehabilitation | Osu Physical Medicine and Rehabilitation, LLC | 410 W 10th Ave, Columbus, OH 43210-1240 |
| Wanda L Mcentyre | Psychologist, Clinical | Osu Physical Medicine and Rehabilitation, LLC | 480 Medical Ctr Dr, Columbus, OH 43210-1229 |
| Lindsay J Schreiber | Psychiatry | Osu Physical Medicine and Rehabilitation, LLC | 480 Medical Ctr Dr, Columbus, OH 43210-1229 |
| Chelsea M. Kane | Psychologist, Clinical | Osu Physical Medicine and Rehabilitation, LLC | 480 Medical Ctr Dr, Columbus, OH 43210-1229 |
| Kristen B Jackson | Psychologist, Clinical | Osu Physical Medicine and Rehabilitation, LLC | 480 Medical Ctr Dr, Columbus, OH 43210-1229 |
| Anthea Alexis Gray | Psychiatry | Osu Physical Medicine and Rehabilitation, LLC | 480 Medical Ctr Dr, Columbus, OH 43210-1229 |
| Street Address |
2050 KENNY RD |
| City | COLUMBUS |
| State | OH |
| Zip | 43221-3502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priya Harakh Dedhia | General Surgery | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Ye Zhou | Nurse Practitioner | Osu Internal Medicine, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| William S Pease | Physical Medicine and Rehabilitation | Osu Physical Medicine and Rehabilitation, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Stacy Alan Brethauer | General Surgery | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Sandra K Kostyk | Neurology | Osu Neuroscience Center, LLC | 2050 Kenny Rd, Fl 7, Columbus, OH 43221-3502 |
| Troy Allen Schaffernocker | Pulmonary Disease | Osu Internal Medicine, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Kirsten Tychonievich | Nurse Practitioner | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Michael J Wert | Internal Medicine | Osu Internal Medicine, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Shannon M Greaker | Nurse Practitioner | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Julie Luann Mohr | Nurse Practitioner | Osu Internal Medicine, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Child | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Mary Steed-may | Clinical Social Worker | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| James Gebhart | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Megan G Thomas | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Patricia Ann Smith | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Rahe Corlis | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Katherine Scullion | Optometry | Riverside Eye Center LLC | 3434 Riverside Dr, Upper Arlington, OH 43221-1743 |
| Darrell D Dye | Optometry | Riverside Eye Center LLC | 3434 Riverside Dr, Upper Arlington, OH 43221-1743 |
| Eric Dean Ostrem | Optometry | 3220 Riverside Dr, Suite B1, Upper Arlington, OH 43221-1752 | |
| Robert P Egbert | Clinical Social Worker | Wellqor Psychological Services PC | 3500 Riverside Dr, Upper Arlington, OH 43221-1753 |
| Find all physicians in zip 43221 | |||
| City | COLUMBUS |
| Zip Code | 43221 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | COLUMBUS + PHYSICAL MEDICINE AND REHABILITATION |
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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.