Young Ho Kim (NPI# 1417100207, PAC ID# 6406919323) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1417100207 |
| PAC ID by PECOS | 6406919323 |
| Professional Enrollment ID | I20170609001324 |
| Full Name | Young Ho Kim |
| Organization Legal Name | PACIFIC NEPHROLOGY ASSOCIATES, P.S. |
| Address |
1901 S Union Ave Allenmore Medical Bldg Suite 87011 Tacoma WA 98405-1702 |
| Phone Number | 2536275755 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476441445 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500129 | TACOMA GENERAL ALLENMORE HOSPITAL |
| 500108 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1901 S Union Ave, Allenmore Medical Bldg Suite 87011, Tacoma, WA 98405-1702 | 2536275755 | PACIFIC NEPHROLOGY ASSOCIATES, P.S. |
| Organization Legal Name | PACIFIC NEPHROLOGY ASSOCIATES, P.S. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ho Won Lee | Nephrology | Pacific Nephrology Associates, P.s. | 33801 1st Way S, Suite 209, Federal Way, WA 98003-6224 |
| Zheng Ge | Nephrology | Pacific Nephrology Associates, P.s. | 4545 Point Fosdick Dr Nw, Suite 250, Gig Harbor, WA 98335-1700 |
| Yajuan He | Nephrology | Pacific Nephrology Associates, P.s. | 4545 Point Fosdick Dr Nw, Suite 250, Gig Harbor, WA 98335-1700 |
| Di Zhao | Nephrology | Pacific Nephrology Associates, P.s. | 33801 1st Way S, Suite 209, Federal Way, WA 98003-6224 |
| Carol L Kinzner | Nurse Practitioner | Pacific Nephrology Associates, P.s. | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Street Address |
1901 S UNION AVE ALLENMORE MEDICAL BLDG SUITE 87011 |
| City | TACOMA |
| State | WA |
| Zip | 98405-1702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather A Hartshorn | General Surgery | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Katherine L Lefler | Registered Dietitian Or Nutrition Professional | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Shi Chian Khor | Physician Assistant | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Joseph P Kreilkamp | Physician Assistant | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Katherine Elizabeth Nall Birrer | Physician Assistant | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Varinia Vigueras | Physician Assistant | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Shani M Mcginnis | Podiatry | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Tiffany C Crabb | Physician Assistant | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Jesse L Mierzwiak | Urology | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Miguel E Ordonez Constellanos | Gastroenterology | Multicare Health System | 1901 S Union Ave, Tacoma, WA 98405-1702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Cunningham | Nurse Practitioner | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Michael W Chandler | Anesthesiology | Tacoma Anesthesia Associates Inc Ps | 3111 S L St, Tacoma, WA 98405 |
| Stephen B Hillis | Family Medicine | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
| Klaus D Mergener | Gastroenterology | Washington Gastroenterology Pllc | 315 Mlk Jr Way, Tacoma, WA 98405 |
| Gerald W Anderson | General Surgery | 315 Mlk Jr Way, Tacoma, WA 98405 | |
| John Daniel Wanwig | Psychiatry | 4050 S 19th St, Suite 200, Tacoma, WA 98405-0001 | |
| Alice Phuong Nguyen | Optometry | 1965 S Union Ave, Tacoma, WA 98405-1017 | |
| Neil Partain | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Richard M Bradford | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Ugochukwu Uwaoma | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
| Find all physicians in zip 98405 | |||
| City | TACOMA |
| Zip Code | 98405 |
| Specialty | NEPHROLOGY |
| City + Specialty | TACOMA + NEPHROLOGY |
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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.