Jae H Kim (NPI# 1861578759, PAC ID# 8729119375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861578759 |
| PAC ID by PECOS | 8729119375 |
| Professional Enrollment ID | I20121101000103 |
| Full Name | Jae H Kim |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES, PC |
| Address |
2222 53rd Ave Bettendorf IA 52722-7546 |
| Phone Number | 5633832686 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Group Practice PAC ID | 6305738808 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| 140275 | GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI |
| 160104 | TRINITY - BETTENDORF |
| 140208 | ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2222 53rd Ave, Bettendorf, IA 52722-7546 | 5633832686 | GASTROENTEROLOGY ASSOCIATES, PC |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Davidson Iii | Gastroenterology | Gastroenterology Associates, PC | 2222 53rd Ave, Bettendorf, IA 52722-7546 |
| Richard L Weyman Iv | Gastroenterology | Gastroenterology Associates, PC | 2222 53rd Ave, Bettendorf, IA 52722-7546 |
| Young B Huh | Gastroenterology | Gastroenterology Associates, PC | 2222 53rd Ave, Bettendorf, IA 52722-7546 |
| Street Address |
2222 53RD AVE |
| City | BETTENDORF |
| State | IA |
| Zip | 52722-7546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Davidson Iii | Gastroenterology | Gastroenterology Associates, PC | 2222 53rd Ave, Bettendorf, IA 52722-7546 |
| Richard L Weyman Iv | Gastroenterology | Gastroenterology Associates, PC | 2222 53rd Ave, Bettendorf, IA 52722-7546 |
| Young B Huh | Gastroenterology | Gastroenterology Associates, PC | 2222 53rd Ave, Bettendorf, IA 52722-7546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Blunt | Chiropractic | 2500 18th St, Bettendorf, IA 52722-0301 | |
| Gary E Anderson | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Whitney R Hess | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Sandra K Droessler | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Marc E Hoskins | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Robert J Knudson | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Robert D Mixsell | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Anna M Hansen | Physician Assistant | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Areeba F Ahsan | Family Medicine | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Christina L Thornburg | Nurse Practitioner | Genesis Health System | 4321 53rd Ave, Genesis Health Group, Bettendorf, IA 52722-1269 |
| Find all physicians in zip 52722 | |||
| City | BETTENDORF |
| Zip Code | 52722 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BETTENDORF + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jae H 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.