Soon Kim (NPI# 1023095643, PAC ID# 8224164462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023095643 |
| PAC ID by PECOS | 8224164462 |
| Professional Enrollment ID | I20100327000006 |
| Full Name | Soon Kim |
| Address |
5808 Main St Elkridge MD 21075-5105 |
| Gender | F |
| Medical School | WOMAN'S MEDICAL COLLEGE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210011 | SAINT AGNES HOSPITAL |
| 210043 | UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5808 Main St, Elkridge, MD 21075-5105 |
| Street Address |
5808 MAIN ST |
| City | ELKRIDGE |
| State | MD |
| Zip | 21075-5105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracie M King | Optometry | Bay Family Eye Care LLC | 7310 Esquire Ct, 3 Tracie King, Elkridge, MD 21075-5441 |
| Mark L Abbott | Nurse Practitioner | 7310 Esquire Ct, 3 Planet Health 360, Elkridge, MD 21075-5441 | |
| Jane Mok | Optometry | Bay Family Eye Care LLC | 7310 Esquire Ct, 3 Tracie King, Elkridge, MD 21075-5441 |
| Josephine B Owusu-sakyi | Internal Medicine | 7310 Esquire Court, Suite 209, Elkridge, MD 21075-5454 | |
| Samantha Mohen | Chiropractic | Elkridge Chiropractic Center P.C. | 6010 Meadowridge Ctr Dr, Suite K, Elkridge, MD 21075-6089 |
| Brian Krupinsky | Chiropractic | Elkridge Chiropractic Center P.C. | 6010 Meadowridge Ctr Dr, Suite K, Elkridge, MD 21075-6089 |
| Larry H Plotkin | Chiropractic | Elkridge Chiropractic Center P.C. | 6010 Meadowridge Ctr Dr, Suite K, Elkridge, MD 21075-6089 |
| Kara Ruddy | Physical Therapy | Elkridge Chiropractic Center P.C. | 6010 Meadowridge Ctr Dr, Suite K, Elkridge, MD 21075-6089 |
| Christine M Baker | Family Medicine | Seton Medical Group Inc | 6518 Meadowridge Rd, Suite 110, Elkridge, MD 21075-6115 |
| Mary Rifino | Family Medicine | Seton Medical Group Inc | 6518 Meadowridge Rd, Suite 110, Elkridge, MD 21075-6115 |
| Find all physicians in zip 21075 | |||
| City | ELKRIDGE |
| Zip Code | 21075 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELKRIDGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Soon 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.