Soo R Kim (NPI# 1851475958, PAC ID# 3971780933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1851475958 |
PAC ID by PECOS | 3971780933 |
Professional Enrollment ID | I20110601000039 |
Full Name | Soo R Kim |
Address |
29 W Oneida St Oswego NY 13126-2509 |
Gender | M |
Graduation Year | 1972 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | RHEUMATOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330218 | OSWEGO HOSPITAL |
Address | Phone | Organization |
---|---|---|
29 W Oneida St, Oswego, NY 13126-2509 |
Street Address |
29 W ONEIDA ST |
City | OSWEGO |
State | NY |
Zip | 13126-2509 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ivan G Proano | Ophthalmology | Ivan G Proano Md Pllc | 15 Bronson St, Oswego, NY 13126-1004 |
Matthew J Liepke | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
Corliss A Varnum | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
Joan Newell | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
Christina M Liepke | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
Theresa Check | Certified Nurse Midwife (cnm) | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
Raj K Mahajan | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
Megan Rae Irland | Physician Assistant | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
Daniel G Coty | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
Ayesha Lauren Turner | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
Find all physicians in zip 13126 |
City | OSWEGO |
Zip Code | 13126 |
Specialty | INTERNAL MEDICINE |
City + Specialty | OSWEGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Soo R 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.