James D Kim (NPI# 1013363589, PAC ID# 3678865318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1013363589 |
| PAC ID by PECOS | 3678865318 |
| Professional Enrollment ID | I20190816002107 |
| Full Name | James D Kim |
| Organization Legal Name | SAN CARLOS APACHE HEALTHCARE CORPORATION |
| Address |
103 Medicine Way Rd Peridot AZ 85542-0787 |
| Phone Number | 9284751200 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0648580597 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| 030077 | SAN CARLOS APACHE HEALTHCARE CORP |
| Address | Phone | Organization |
|---|---|---|
| 103 Medicine Way Rd, Peridot, AZ 85542-0787 | 9284751200 | SAN CARLOS APACHE HEALTHCARE CORPORATION |
| Organization Legal Name | SAN CARLOS APACHE HEALTHCARE CORPORATION |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelli K Ducray | Nurse Practitioner | San Carlos Apache Healthcare Corporation | 101 Medicine Dr, Bylas, AZ 85530 |
| Fernando C Cruzado | Family Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Carmen N Partida | Emergency Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Maria L Hutton | Nurse Practitioner | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Bruce A Gleason | Emergency Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Karyn M Katsenes | Psychiatry | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Nicolas A Enriquez | Emergency Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Jorge A Colon Morales | Family Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Jody Daggett | Orthopedic Surgery | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Jabari C Reeves | Emergency Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Street Address |
103 MEDICINE WAY RD |
| City | PERIDOT |
| State | AZ |
| Zip | 85542-0787 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando C Cruzado | Family Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Carmen N Partida | Emergency Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Maria L Hutton | Nurse Practitioner | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Bruce A Gleason | Emergency Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Karyn M Katsenes | Psychiatry | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Nicolas A Enriquez | Emergency Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Jorge A Colon Morales | Family Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Jody Daggett | Orthopedic Surgery | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Jabari C Reeves | Emergency Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| James M Darragh | Internal Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Mcgowan | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners and Management LLC | 103 Medicine Way, Peridot, AZ 85542-0787 |
| Jared L Scott | Physician Assistant | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Ali J Baghai | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners and Management LLC | 103 Medicine Way, Peridot, AZ 85542-0787 |
| Lindsey M Retterath | Emergency Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Jonathan Michael Foral | Diagnostic Radiology | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Carl Bronitsky | Obstetrics/gynecology | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Paul B Mcmaster | Podiatry | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Barbara A Nunn | Nurse Practitioner | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Andrew J Presto Iii | Urology | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Jesse W Mix | Family Medicine | San Carlos Apache Healthcare Corporation | 103 Medicine Way Rd, Peridot, AZ 85542-0787 |
| Find all physicians in zip 85542 | |||
| City | PERIDOT |
| Zip Code | 85542 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PERIDOT + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on James D 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.