Jeong H Kim


Address: 11812 N Creek Pkwy N, Suite 202, Bothell, WA 98011-8202

Jeong H Kim (NPI# 1861591786, PAC ID# 7719983162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1861591786
PAC ID by PECOS 7719983162
Professional Enrollment ID I20061009000278
Full Name Jeong H Kim
Address 11812 N Creek Pkwy N
Suite 202
Bothell
WA 98011-8202
Gender M
Credential MD
Medical School LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500021 ST CLARE HOSPITAL

Other Locations

Address Phone Organization
3900 Factoria Blvd Se A, Bellevue, WA 98006-1234 4259033141 SUMMIT URGENT CARE, PS
11812 N Creek Pkwy N, Suite 202, Bothell, WA 98011-8202
801 Sw 16th St, Suite 121, Renton, WA 98057-2628

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 95%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 11812 N CREEK PKWY N
SUITE 202
City BOTHELL
State WA
Zip 98011-8202

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Name Specialty Organization Address
Deborah Lee Benlien Chiropractic 19122 Beardslee Blvd, Suite 105, Bothell, WA 98011-0200
Victor Frank Solley Occupational Therapy Bothell Pediatric and Hand Therapy 18504 Bothell Way Ne, Bothell, WA 98011-1927
Kimberly A Alquist Occupational Therapy Bothell Pediatric and Hand Therapy 18504 Bothell Way Ne, Bothell, WA 98011-1927
Noelle C Pratte Occupational Therapy Bothell Pediatric and Hand Therapy 18504 Bothell Way Ne, Bothell, WA 98011-1927
Joseph F Bullert Occupational Therapy Bothell Pediatric and Hand Therapy 18504 Bothell Way Ne, Bothell, WA 98011-1927
Suzanne Marie Shay Chiropractic Doyle Chiropractic Clinic Ps 16923 96th Ne Ave, Bothell, WA 98011-1937
David Leroy Arthur Chiropractic Doyle Chiropractic Clinic Ps 16923 96th Ne Ave, Bothell, WA 98011-1937
Hagen Patrick Schroder Chiropractic Kaufman Chiropractic Clinic Inc 18920 Bothell Wy Ne, Suite 100, Bothell, WA 98011-1981
Michael D Kaufman Chiropractic Kaufman Chiropractic Clinic Inc 18920 Bothell Wy Ne, Suite 100, Bothell, WA 98011-1981
John Tyler Kopet Chiropractic Kaufman Chiropractic Clinic Inc 18920 Bothell Wy Ne, Suite 100, Bothell, WA 98011-1981
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Competitor

Search similar physicians

City BOTHELL
Zip Code 98011
Specialty INTERNAL MEDICINE
City + Specialty BOTHELL + INTERNAL MEDICINE

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Dataset Information

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.

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