Joo Y Kim (NPI# 1942211388, PAC ID# 6305912247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1942211388 |
| PAC ID by PECOS | 6305912247 |
| Professional Enrollment ID | I20080829000216 |
| Full Name | Joo Y Kim |
| Organization Legal Name | PRIMARY CARE CENTER OF PORT ORANGE |
| Address |
4770 S Ridgewood Ave Suite 1 Port Orange FL 32127-4543 |
| Phone Number | 3867610050 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 3476452368 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4770 S Ridgewood Ave, Suite 1, Port Orange, FL 32127-4543 | 3867610050 | PRIMARY CARE CENTER OF PORT ORANGE |
| 4770 S Ridgewood Ave, Port Orange, FL 32127-4543 | 3867610050 | PRIMARY CARE CENTER OF PORT ORANGE |
| Organization Legal Name | PRIMARY CARE CENTER OF PORT ORANGE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Lind | Nurse Practitioner | Primary Care Center of Port Orange | 4770 S Ridgewood Ave, Suite 1, Port Orange, FL 32127-4543 |
| Jon C Jackson | Family Practice | Primary Care Center of Port Orange | 4770 S Ridgewood Ave, Suite 1, Port Orange, FL 32127-4543 |
| William L Gilmer | Family Practice | Primary Care Center of Port Orange | 4770 S Ridgewood Ave, Suite 1, Port Orange, FL 32127-4543 |
| Street Address |
4770 S RIDGEWOOD AVE SUITE 1 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32127-4543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen Mate | Podiatry | 4770 S Ridgewood Ave, Suite 4, Port Orange, FL 32127-4543 | |
| Anne Lind | Nurse Practitioner | Primary Care Center of Port Orange | 4770 S Ridgewood Ave, Suite 1, Port Orange, FL 32127-4543 |
| Jon C Jackson | Family Practice | Primary Care Center of Port Orange | 4770 S Ridgewood Ave, Suite 1, Port Orange, FL 32127-4543 |
| William L Gilmer | Family Practice | Primary Care Center of Port Orange | 4770 S Ridgewood Ave, Suite 1, Port Orange, FL 32127-4543 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Williams | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| David L Meese | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Joseph Mirante | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Michael Munier | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Andrew H Ritter | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| John S Newman | Certified Registered Nurse Anesthetist (crna) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Anthony T Tucker | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| John T Tolland | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Robert J Yu | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Timothy J Wierzbicki | Neurology | 1211 Dunlawton Ave, Port Orange, FL 32127-2913 | |
| Find all physicians in zip 32127 | |||
| City | PORT ORANGE |
| Zip Code | 32127 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PORT ORANGE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Joo Y 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.