Paul S Kim (NPI# 1427074269, PAC ID# 5395648422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1427074269 |
| PAC ID by PECOS | 5395648422 |
| Professional Enrollment ID | I20040128000260 |
| Full Name | Paul S Kim |
| Organization Legal Name | PLASTIC AND RECONSTRUCTIVE SURGERY OF CHESTER COUNTY |
| Address |
460 Creamery Way Suite 110 Exton PA 19341-2533 |
| Phone Number | 6105248244 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1979 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 0941287494 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390076 | BRANDYWINE HOSPITAL |
| 390044 | READING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 460 Creamery Way, Suite 110, Exton, PA 19341-2533 | 6105248244 | PLASTIC AND RECONSTRUCTIVE SURGERY OF CHESTER COUNTY |
| Organization Legal Name | PLASTIC AND RECONSTRUCTIVE SURGERY OF CHESTER COUNTY |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary F Wingate | Plastic and Reconstructive Surgery | Plastic and Reconstructive Surgery of Chester County | 460 Creamery Way, Suite 110, Exton, PA 19341-2533 |
| Street Address |
460 CREAMERY WAY SUITE 110 |
| City | EXTON |
| State | PA |
| Zip | 19341-2533 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody Eddy | Qualified Audiologist | Pinnacle Ent Alliance LLC | 460 Creamery Way, 103 Oakland Corp Center, Exton, PA 19341-2533 |
| Kelly A Williamson | Ophthalmology | Moore Eye Care, P.C. | 460 Creamery Way, Suite 105, Exton, PA 19341-2533 |
| Timothy J Downey | Otolaryngology | Pinnacle Ent Alliance LLC | 460 Creamery Way, 103 Oakland Corp Center, Exton, PA 19341-2533 |
| Mark A Lisi | Qualified Audiologist | Pinnacle Ent Alliance LLC | 460 Creamery Way, 103 Oakland Corp Center, Exton, PA 19341-2533 |
| Jillian T Mattioni | Otolaryngology | Pinnacle Ent Alliance LLC | 460 Creamery Way, 103 Oakland Corp Center, Exton, PA 19341-2533 |
| Erikka Resendiz | Qualified Audiologist | Pinnacle Ent Alliance LLC | 460 Creamery Way, 103 Oakland Corp Center, Exton, PA 19341-2533 |
| Jennifer Elizabeth Spaventa | Qualified Audiologist | Pinnacle Ent Alliance LLC | 460 Creamery Way, 103 Oakland Corp Center, Exton, PA 19341-2533 |
| Gary F Wingate | Plastic and Reconstructive Surgery | Plastic and Reconstructive Surgery of Chester County | 460 Creamery Way, Suite 110, Exton, PA 19341-2533 |
| Michael Hoffman | Otolaryngology | Pinnacle Ent Alliance LLC | 460 Creamery Way, 103 Oakland Corp Center, Exton, PA 19341-2533 |
| Alyssa Acquavita | Qualified Audiologist | Pinnacle Ent Alliance LLC | 460 Creamery Way, 103 Oakland Corp Center, Exton, PA 19341-2533 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liping Yao | Physical Medicine and Rehabilitation | 682 W Lincoln Hwy, Exton, PA 19341 | |
| Anne Elizabeth Leung | Physical Therapy | Ati Holdings LLC | 266 Eagleview Blvd, Exton, PA 19341-1157 |
| Taylor A Martin | Nurse Practitioner | Tower Health Urgent Care, LLC | 278 Eagleview Blvd, Exton, PA 19341-1157 |
| William Clark | Physical Therapy | Ati Holdings LLC | 266 Eagleview Blvd, Exton, PA 19341-1157 |
| Robert P Ditizio | Family Medicine | Tower Health Urgent Care, LLC | 278 Eagleview Blvd, Exton, PA 19341-1157 |
| Anthony Mangiaracina Iii | Emergency Medicine | Tower Health Urgent Care, LLC | 278 Eagleview Blvd, Exton, PA 19341-1157 |
| Kenneth Charleston | Physical Therapy | Ati Holdings LLC | 266 Eagleview Blvd, Exton, PA 19341-1157 |
| Taylor M Heebner | Physical Therapy | Ati Holdings LLC | 266 Eagleview Blvd, Exton, PA 19341-1157 |
| Kirsten Yeager | Physical Therapy | Ati Holdings LLC | 266 Eagleview Blvd, Exton, PA 19341-1157 |
| Nicole V Day | Physical Therapy | Ati Holdings LLC | 266 Eagleview Blvd, Exton, PA 19341-1157 |
| Find all physicians in zip 19341 | |||
| City | EXTON |
| Zip Code | 19341 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | EXTON + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Paul S 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.