Eugene T Kim (NPI# 1992951651, PAC ID# 3678743093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1992951651 |
| PAC ID by PECOS | 3678743093 |
| Professional Enrollment ID | I20110823000262 |
| Full Name | Eugene T Kim |
| Organization Legal Name | GLENDORA RADIOLOGICAL ASSOC INC |
| Address |
20391 W Springfield St Buckeye AZ 85396-3544 |
| Phone Number | 6263395464 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163514589 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| 390046 | YORK HOSPITAL |
| 390123 | POTTSTOWN HOSPITAL |
| 050382 | CITRUS VALLEY MEDICAL CENTER-IC CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 20391 W Springfield St, Buckeye, AZ 85396-3544 | 6263395464 | GLENDORA RADIOLOGICAL ASSOC INC |
| 20391 W Springfield St, Buckeye, AZ 85396-3544 | 3174608919 | STEUBEN RADIOLOGY ASSOCIATES INC |
| 20391 W Springfield St, Buckeye, AZ 85396-3544 | 6103277282 | MONTGOMERY RADIOLOGY ASSOCIATES PC |
| 20391 W Springfield St, Buckeye, AZ 85396-3544 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 20391 W Springfield St, Buckeye, AZ 85396-3544 | FRED SMELTZER MD AND ASSOCIATES INC | |
| 2211 S Clayton St, Denver, CO 80210-4811 | 9525951100 | OHIO IMAGING ASSOCIATES INC |
| 2561 S Saint Paul St, Denver, CO 80210-6218 | 3038037093 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 28 Covington Dr, Englewood, CO 80113-4145 | 8005902838 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 670 Bills Ranch Rd, Apt 329e, Frisco, CO 80443 | 6153150600 | RADIOLOGY ALLIANCE PC |
| 2113 S Juniper St, Lake of The Ozarks Radiology, Lakewood, CO 80228-6428 | 3036974722 | FRED SMELTZER MD AND ASSOCIATES INC |
| 3997 Nelson Rd, Longmont, CO 80503-9091 | 7402648287 | STEUBEN RADIOLOGY ASSOCIATES INC |
| 115 Middle Park Court, Silverthorne, CO 80498-0000 | 6103277282 | MONTGOMERY RADIOLOGY ASSOCIATES PC |
| Organization Legal Name | GLENDORA RADIOLOGICAL ASSOC INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas James Alden | Diagnostic Radiology | Glendora Radiological Assoc Inc | 373 Big Horn Ridge Dr Ne, Albuquerque, NM 87122-1424 |
| Duane Charles Wilson | Diagnostic Radiology | Glendora Radiological Assoc Inc | 57638 Red Alder Lane, Sunriver, OR 97707 |
| Michael J Grant | Diagnostic Radiology | Glendora Radiological Assoc Inc | 7703 N Warren Ln, Spokane, WA 99208-4978 |
| Jennifer Kim | Diagnostic Radiology | Glendora Radiological Assoc Inc | 35 Deacons Way, New Canaan, CT 06840-4221 |
| Catherine C Roberts | Diagnostic Radiology | Glendora Radiological Assoc Inc | 16236 N 110th St, Scottsdale, AZ 85255-2433 |
| Wendy E Zimmer | Diagnostic Radiology | Glendora Radiological Assoc Inc | 32 Saint Catherines Ct, Buffalo, NY 14222-1614 |
| Bruce J Thaler | Diagnostic Radiology | Glendora Radiological Assoc Inc | 110 S Front St, Philadelphia, PA 19106-3000 |
| Scott C Chang | Diagnostic Radiology | Glendora Radiological Assoc Inc | 8755 Killians Greens Dr, Las Vegas, NV 89131-6706 |
| Albert C Ybasco | Diagnostic Radiology | Glendora Radiological Assoc Inc | 46 Carillon Cir, Livingston, NJ 07039-2600 |
| William F Pfisterer | Interventional Radiology | Glendora Radiological Assoc Inc | 210 W San Bernardino Rd, Covina, CA 91723-1515 |
| Street Address |
20391 W SPRINGFIELD ST |
| City | BUCKEYE |
| State | AZ |
| Zip | 85396-3544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick M Nemechek | Internal Medicine | Nemechek Consultative Medicine, Inc. | 4252 N Verrado Way, 103b, Buckeye, AZ 85396-7596 |
| Esther Kamau | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 20751 W Market St, Buckeye, AZ 85396-7893 |
| Randi Michelle Herman | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 20751 W Market St, Buckeye, AZ 85396-7893 |
| City | BUCKEYE |
| Zip Code | 85396 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BUCKEYE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Eugene T 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.