Daniel Luck Kim (NPI# 1023276029, PAC ID# 5991942294) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
Nation Provider ID (NPI) | 1023276029 |
PAC ID by PECOS | 5991942294 |
Professional Enrollment ID | I20130801000381 |
Full Name | Daniel Luck Kim |
Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
Address |
1210 Medical Arts Blvd Anderson IN 46011-3439 |
Gender | M |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2006 |
Primary Specialty | NEUROSURGERY |
Group Practice PAC ID | 1759416662 |
Number of Group Practice Members | 1076 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150113 | COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY |
150088 | ST. VINCENT ANDERSON REGIONAL HOSPITAL |
151308 | ST VINCENT MERCY HOSPITAL |
150089 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1210 Medical Arts Blvd, Anderson, IN 46011-3439 | COMMUNITY PHYSICIANS OF INDIANA INC | |
1515 N Madison Ave, Anderson, IN 46011-3453 | 7652984242 | COMMUNITY PHYSICIANS OF INDIANA INC |
1515 N Madison Ave, Maternal Fetal Medicine, Anderson, IN 46011-3453 | 3176219210 | COMMUNITY PHYSICIANS OF INDIANA INC |
7120 Clearvista Dr, Suite 4000, Indianapolis, IN 46256-1774 | 3176217444 | COMMUNITY PHYSICIANS OF INDIANA INC |
Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
Physicians | 1201 |
Name | Specialty | Organization | Address |
---|---|---|---|
Miranda Tedder | Nurse Practitioner | Community Physicians of Indiana Inc | 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 |
Sasikanth Adigopula | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 |
Itoro Okpokho | Family Medicine | Community Physicians of Indiana Inc | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 |
Rebecca A King | Nurse Practitioner | Community Physicians of Indiana Inc | 101 S Liberty St, Russiaville, IN 46979-9125 |
Minesh Dinesh Rajkotia | Family Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
Sarah E Dilley | Gynecological Oncology | Community Physicians of Indiana Inc | 1440 E County Line Rd, Suite 1200, Indianapolis, IN 46227-0963 |
Alyson M Ruotanen | Qualified Audiologist | Community Physicians of Indiana Inc | 1550 E County Line Rd, Suite 315, Indianapolis, IN 46227-0990 |
Fnu Rakshita Chandrashekar | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1101 W Jefferson St S, Franklin, IN 46131-2147 |
Robert W Godley Ii | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1130 W Jefferson St, Suite D, Franklin, IN 46131-2760 |
Patricia Justine Irvin | Nurse Practitioner | Community Physicians of Indiana Inc | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 |
Street Address |
1210 MEDICAL ARTS BLVD |
City | ANDERSON |
State | IN |
Zip | 46011-3439 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jenile J Abell | Nurse Practitioner | Josephson-wallack-munshower Neurology PC | 1210 Medical Arts Blvd, Suite 114, Anderson, IN 46011-3442 |
Dwight B Mccurdy | General Surgery | Surgical Associates of Madison County PC | 1210 Medical Arts Blvd, Suite 215, Anderson, IN 46011-3439 |
Omar Faisal Khatib | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1210 Medical Arts Blvd, Suite 104a, Anderson, IN 46011-3461 |
Susan M Anderson | Psychiatry | 1210 Medical Arts Blvd, Suite 102, Anderson, IN 46011-3435 | |
Nanette B Oscherwitz | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1210 Medical Arts Blvd, 105a, Anderson, IN 46011-3437 |
Harry G Lim | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1210 Medical Arts Blvd, 105a, Anderson, IN 46011-3437 |
Nighat A Tahir | Rheumatology | Community Physicians of Indiana Inc | 1210 Medical Arts Blvd, Suite 200a, Anderson, IN 46011-3437 |
Richard H Ofstein | Vascular Surgery | Community Physicians of Indiana Inc | 1210 Medical Arts Blvd, Anderson, IN 46011-3437 |
Robert Clark Beeson | Family Medicine | 1210 Medical Arts Blvd, Suite 208, Anderson, IN 46011-3437 | |
Christopher P Rocco | Neurology | Josephson-wallack-munshower Neurology PC | 1210 Medical Arts Blvd, Suite 114, Anderson, IN 46011-3442 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Ericka Etherington | Nurse Practitioner | Community Physicians of Indiana Inc | 1340 N Madison Ave, Community Regional Cancer Center, Anderson, IN 46011-1216 |
Jennifer E Fisher | Radiation Oncology | Community Physicians of Indiana Inc | 1340 N Madison Ave, Community Regional Cancer Center, Anderson, IN 46011-1216 |
Tracy R Price | Radiation Oncology | Community Physicians of Indiana Inc | 1340 N Madison Ave, Community Regional Cancer Center, Anderson, IN 46011-1216 |
Shih J Wei | Radiation Oncology | Community Physicians of Indiana Inc | 1340 N Madison Ave, Community Regional Cancer Center, Anderson, IN 46011-1216 |
Gregory Waldren Boake | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
Jason Donald Gray | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
Michael James Baker | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
Jessica Ruth Taulman-young | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
Tiffany Truong Koch | Podiatry | Baker Foot Solutions Corp | 1622 N Madison Ave, Community Foot and Ankle Center, Anderson, IN 46011-2130 |
Ami E Rice | Obstetrics/gynecology | Midwest Dysphagia Consultants LLC | 1809 N Madison Ave, Anderson, IN 46011-2145 |
Find all physicians in zip 46011 |
City | ANDERSON |
Zip Code | 46011 |
Specialty | NEUROSURGERY |
City + Specialty | ANDERSON + NEUROSURGERY |
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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.