Scott Sang Kim (NPI# 1164650461, PAC ID# 8123242252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1164650461 |
| PAC ID by PECOS | 8123242252 |
| Professional Enrollment ID | I20161206001483 |
| Full Name | Scott Sang Kim |
| Organization Legal Name | SHADELAND ANESTHESIA AND PAIN ASSOCIATES INC |
| Address |
3738 Landmark Dr Suite A Lafayette IN 47905-6655 |
| Phone Number | 3177067246309 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 2769468990 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150162 | FRANCISCAN HEALTH INDIANAPOLIS |
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| 150057 | FRANCISCAN HEALTH MOORESVILLE |
| 150128 | COMMUNITY HOSPITAL SOUTH, INC. |
| Address | Phone | Organization |
|---|---|---|
| 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 | 3177067246309 | SHADELAND ANESTHESIA AND PAIN ASSOCIATES INC |
| Organization Legal Name | SHADELAND ANESTHESIA AND PAIN ASSOCIATES INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saima Kamal | Anesthesiology | Shadeland Anesthesia and Pain Associates Inc | 8805 N Meridian St, Indianapolis, IN 46260-2760 |
| Amanda E Wakefield | Psychologist, Clinical | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Barbara A Kovacs | Nurse Practitioner | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Dionne Jewell | Physical Therapy | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Ted J Westlund | Physician Assistant | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Kelli Gonzalez | Physical Therapy | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Caroline L. Asava | Nurse Practitioner | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Sandra J Dolny | Physician Assistant | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Jocelyn Bush | Interventional Pain Management | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Dena M Seifert | Nurse Practitioner | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Street Address |
3738 LANDMARK DR SUITE A |
| City | LAFAYETTE |
| State | IN |
| Zip | 47905-6655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda E Wakefield | Psychologist, Clinical | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Barbara A Kovacs | Nurse Practitioner | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Dionne Jewell | Physical Therapy | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Ted J Westlund | Physician Assistant | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Kelli Gonzalez | Physical Therapy | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Caroline L. Asava | Nurse Practitioner | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Sandra J Dolny | Physician Assistant | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Jocelyn Bush | Interventional Pain Management | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Dena M Seifert | Nurse Practitioner | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Tamara G Elsner | Physical Therapy | Shadeland Anesthesia and Pain Associates Inc | 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6655 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Melissa A Gwin | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Vishal Viswam | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Sonia B Yballe | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Azubike Nwokedi | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Kathleen Jane Halverson | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Timothy Poquette | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Morgan Amelia Mccormick | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Olaniyi O Osuntokun | Psychiatry | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Katherine M Hafer | Nurse Practitioner | Sycamore Springs Physician Group LLC | 833 Park E Blvd, Lafayette, IN 47905-0785 |
| Find all physicians in zip 47905 | |||
| City | LAFAYETTE |
| Zip Code | 47905 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | LAFAYETTE + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Scott Sang 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.