Sam Eun Kim (NPI# 1093987885, PAC ID# 8820158702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093987885 |
| PAC ID by PECOS | 8820158702 |
| Professional Enrollment ID | I20081121000505 |
| Full Name | Sam Eun Kim |
| Organization Legal Name | MCH PROFESSIONAL CARE |
| Address |
8050 E Hwy 191 Suite 200 Odessa TX 79765-8607 |
| Phone Number | 4323375411 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658358635 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450132 | MEDICAL CENTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 | 4323375411 | MCH PROFESSIONAL CARE |
| Organization Legal Name | MCH PROFESSIONAL CARE |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Notley | Nurse Practitioner | Mch Professional Care | 519 N Lincoln Ave, Odessa, TX 79761-4429 |
| Annalee A Mora | Nurse Practitioner | Mch Professional Care | 4210 John Ben Shepperd Pkwy, Odessa, TX 79762-8153 |
| Nancy P Bueno | Nurse Practitioner | Mch Professional Care | 2450 W Loop, Suite 338, Odessa, TX 79763-3201 |
| Sudhir Amaram | Cardiovascular Disease (cardiology) | Mch Professional Care | 720 Golder Ave, Odessa, TX 79761-4442 |
| Bonnie C Carter | Family Medicine | Mch Professional Care | 3001 Jbs Pkwy, Odessa, TX 79762-8126 |
| Manohar Angirekula | Cardiovascular Disease (cardiology) | Mch Professional Care | 1601 N Turner St, Suite 320, Hobbs, NM 88240-4310 |
| Sara Gray | Qualified Audiologist | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Jorge G. Alamo | Family Medicine | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Eduardo Salcedo | Family Medicine | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Juanita C Lopez | Physician Assistant | Mch Professional Care | 720 Golder Ave, Odessa, TX 79761-4442 |
| Street Address |
8050 E HWY 191 SUITE 200 |
| City | ODESSA |
| State | TX |
| Zip | 79765-8607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Gully | Nurse Practitioner | West Texas Neurosurgery Pa | 8050 E Hwy 191, Suite 212, Odessa, TX 79765-8615 |
| Alim Mirza Ladha | Neurosurgery | 8050 E Hwy 191, Suite 203, Odessa, TX 79765-8615 | |
| Cynthia Jean Wall | Psychologist, Clinical | 8050 E Hwy 191, Suite 206, Odessa, TX 79765-8615 | |
| John K Dorman | Neurosurgery | West Texas Neurosurgery Pa | 8050 E Hwy 191, Suite 212, Odessa, TX 79765-8615 |
| David Davison | Family Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Santiago Giraldo | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Getnet Aberra | Family Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Stephanie Alexandra Kubacak | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Ramnauth Robert Ramkissoon | Physician Assistant | Ector County Hospital District | 8050 E Hwy 191, Suite 103, Odessa, TX 79765-8614 |
| Augusto Sepulveda | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Odessa, TX 79765-8607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Paradeaux | Nurse Practitioner | Permian Premier Health Services Inc | 980 E 87th St D, Steward Medical Group of Texas, Odessa, TX 79765-1318 |
| Robert L Chappell Jr. | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Ritchie Rosso | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Nathan A Rosso | Physician Assistant | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Jason R Dominguez | Physician Assistant | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Kris L Howard | Dermatology | Kris L Howard Md Pa | 8141 Dorado Dr, Odessa, TX 79765-8533 |
| Nicole Leann Connelly | Physician Assistant | Kris L Howard Md Pa | 8141 Dorado Dr, Odessa, TX 79765-8533 |
| Daniel Ohearn | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Odessa, TX 79765-8607 |
| Carl D Brown | Neurology | 8050 E Hwy 191 205, Odessa, TX 79765-8615 | |
| John G Jones | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 111 Parks Village Dr, Odessa, TX 79765-8905 |
| Find all physicians in zip 79765 | |||
| City | ODESSA |
| Zip Code | 79765 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ODESSA + INTERNAL MEDICINE |
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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.