Paul S Kim (NPI# 1790862225, PAC ID# 9638203789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1790862225 |
| PAC ID by PECOS | 9638203789 |
| Professional Enrollment ID | I20171101001953 |
| Full Name | Paul S Kim |
| Organization Legal Name | MONTCALM CARE NETWORK |
| Address |
611 N State St Stanton MI 48888-9702 |
| Phone Number | 9898317520 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8123000932 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231312 | SHERIDAN COMMUNITY HOSPITAL |
| 230030 | MIDMICHIGAN MEDICAL CENTER-GRATIOT |
| 231317 | SPECTRUM HEALTH KELSEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 611 N State St, Stanton, MI 48888-9702 | 9898317520 | MONTCALM CARE NETWORK |
| Organization Legal Name | MONTCALM CARE NETWORK |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julianna M Kozara | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48888-9702 |
| Wendy J Zank | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48888-9702 |
| Joelle M Black | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48888-9702 |
| Michael E Buck | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48888-9702 |
| Ashley Young | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48889-9702 |
| Street Address |
611 N STATE ST |
| City | STANTON |
| State | MI |
| Zip | 48888-9702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julianna M Kozara | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48888-9702 |
| Wendy J Zank | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48888-9702 |
| Joelle M Black | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48888-9702 |
| Michael E Buck | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48888-9702 |
| Ashley Young | Clinical Social Worker | Montcalm Care Network | 611 N State St, Stanton, MI 48889-9702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Gulick | Internal Medicine | Sheridan Community Hospital | 620 W Main St, Stanton, MI 48888-9238 |
| Anna West | Physician Assistant | Willis F Gaffney Md PC | 2939 S Sheridan Rd, Stanton, MI 48888-9285 |
| Willis F Gaffney | General Practice | Willis F Gaffney Md PC | 2939 S Sheridan Rd, Stanton, MI 48888-9285 |
| Sarah R Vanderhoof | Physician Assistant | Willis F Gaffney Md PC | 2939 S Sheridan Rd, Stanton, MI 48888-9285 |
| Sana L Gaffney | Physician Assistant | Willis F Gaffney Md PC | 2939 S Sheridan Rd, Stanton, MI 48888-9285 |
| Aimee L Johnson | Nurse Practitioner | Sparrow Carson Hospital | 545 N State St, Stanton Family Care Center, Stanton, MI 48888-9331 |
| David M Clay | Chiropractic | 212 W Main St, Stanton, MI 48888-9690 | |
| Jennifer M Efaw | Nurse Practitioner | Mid Michigan District Health Department | 615 N State St, Suite 1, Stanton, MI 48888-9702 |
| City | STANTON |
| Zip Code | 48888 |
| Specialty | PSYCHIATRY |
| City + Specialty | STANTON + PSYCHIATRY |
Please comment or provide details below to improve the information on Paul S 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.