SCOTT SANG WON KIM


Address: 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073
Phone: 3177067246

SCOTT SANG WON KIM (NPI# 1164650461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164650461
Entity Type Individual
Full Name SCOTT SANG WON KIM
Credential M.D.
Practice Address 533 E County Line Rd
Suite 201
Greenwood
IN 46143-1073
Mailing Address 8805 N Meridian St
Indianapolis
IN 46260-2760
Practice Telephone 3177067246
Practice Fax Number 3177063419
Mailing Telephone 3177067246
Mailing Fax Number 3177063417
Enumeration Date 2009-06-24
Last Update Date 2018-11-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
01077832A IN Allopathic & Osteopathic Physicians
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
0101255306 VA Allopathic & Osteopathic Physicians
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
MD043623 DC Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
D0077042 MD Allopathic & Osteopathic Physicians

Other Providers SCOTT KIM

NPI Name Taxonomy Address Enumeration
1194283614 Scott Kim Student in an Organized Health Care Education/Training Program 8 Locksley Ave Apt 8m, San Francisco, CA 94122-3850 2019-03-04
1043656655 Scott Seung Young Kim Oral & Maxillofacial Surgery 6201 Greenbelt Rd Ste M1, College Park, MD 20740-2358 2013-05-22
1588290738 Scott H Kim Pharmacist 8887 Garden Grove Blvd, Garden Grove, CA 92844-1249 2020-03-19
1659864056 Scott Hyuk Kim Student in an Organized Health Care Education/Training Program William Beaumont Army Medical Center, 5005 North Piedras Street Attn: Gme Office, El Paso, TX 79920 2018-06-11
1770850877 Scott Kim Pharmacist 5802 W Broad St, Richmond, VA 23230-2659 2011-11-18
1518008804 Scott Yung Kim Internal Medicine 5427 Whittier Blvd, Los Angeles, CA 90022-4101 2007-02-09
1487701447 Scott Kim Dentist 1430 E Main St, Suite 103, Santa Maria, CA 93454-4809 2007-01-04
1477625895 Scott Yung Ho Kim Psychiatry & Neurology 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2006-11-14
1548356108 Scott Yong Jin Kim Dentist 4220 W 3rd St, Suite #101, Los Angeles, CA 90020-3450 2006-10-04

Office Location

Street Address 533 E COUNTY LINE RD
SUITE 201
City GREENWOOD
State IN
Zip Code 46143-1073

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053311001 Tessa M Asdell Obstetrics & Gynecology 533 E County Line Rd, Suite 102, Greenwood, IN 46143-1048 2005-07-29
1023541653 Brittany Y. Simpson Family Medicine 533 E County Line Rd, Greenwood, IN 46143-1073 2017-04-11
1609247659 Laser and Light Surgery Center Family Medicine 533 E County Line Rd, Suite 204, Greenwood, IN 46143-1073 2015-10-16
1003292483 Center for Southside Surgery, LLC Clinic/Center 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 2015-08-07
1588950141 Tamara Geralyn Elsner Physical Therapist 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 2011-06-22
1265511737 Associates for Women's Health Obstetrics & Gynecology 533 E County Line Rd, Suite 102, Greenwood, IN 46143-1048 2006-11-03
1669578548 Janine Elise Wallick Nurse Practitioner 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 2006-09-16
1578667713 Mark Hamilton Plastic Surgery 533 E County Line Rd, Suite #104, Greenwood, IN 46143-1073 2006-09-08
1841309754 Ryan K Brashear Dermatology 533 E County Line Rd, #203, Greenwood, IN 46143-1073 2006-08-30
1003924770 Hamilton Facial Plastic Surgery, PC Plastic Surgery 533 E County Line Rd, Ste 104, Greenwood, IN 46143-1073 2006-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891395299 Tiffany Smirat Pharmacist 882 S Sr 135, Greenwood, IN 46143 2020-10-27
1083250138 Benajmin Thomas Nyboer Pharmacist 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 2019-11-25
1609417260 Orthopaedics-indianapolis, Inc Orthopaedic Surgery 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 2019-10-04
1194282525 Homebased Mental Health Service Case Management 2244 Blossom Dr, Greenwood, IN 46143 2019-02-21
1710478078 Anne E Packard Pharmacist 333 E County Line Rd # 101, Greenwood, IN 46143 2018-05-22
1033607924 Ez Clinic Inc. Nurse Practitioner 494 S Emerson Ave Ste I, Greenwood, IN 46143 2018-04-25
1891246633 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 5961 N Sr 135, Greenwood, IN 46143 2016-10-17
1477919637 Ourhealth Physicians Group, LLC Clinic/Center 1273 N Emerson Ave Ste H, Greenwood, IN 46143 2016-01-04
1003212655 American Health Network of Indiana, LLC Non-Pharmacy Dispensing Site 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 2014-11-10
1265831366 Katie D'agosto Counselor 3000 S State Road 135 Ste 230, Greenwood, IN 46143 2014-08-14
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447210554 Greenwood Leflore Hospital Anesthesiology 1403 Strong Ave, Greenwood, MS 38930 2006-03-23
1932657301 Self Medical Group Anesthesiology 1325 Spring St, Greenwood, SC 29646-3860 2016-09-14
1902164981 Inderpal Singh Anesthesiology 1325 Spring St, Greenwood, SC 29646 2012-04-27
1023035482 Indianapolis Neurosurgical Group PC Anesthesiology 1051 S Greenwood Springs Blvd, Suite 210, Greenwood, IN 46143-6479 2006-07-15
1578596995 Philip Carl Latourette Anesthesiology 1325 Spring St, Greenwood, SC 29646-3860 2006-07-09
1003871690 Robert I. Prince Anesthesiology 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 2006-04-18
1831159037 Ahmed Abdel Aziz Anesthesiology 1403 Strong Ave, Greenwood, MS 38930-4035 2006-03-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902429509 Apollo Pain Center, LLC Anesthesiology 1458 S Jackson St, Frankfort, IN 46041-3315 2020-05-19
1215497763 Hendricks County Hospital Anesthesiology 8244 E Us Highway 36 Ste 150, Avon, IN 46123-5526 2019-03-21
1881081552 Aapolo Spine and Pain Management Center Anesthesiology 4215 N 210 E, Marion, IN 46952-6634 2015-04-21
1629488002 Shaan Khan Anesthesiology 500 Legacy Plz W, La Porte, IN 46350-5254 2014-05-06
1578800561 Complete Pain Care LLC Anesthesiology 10744 E Us Highway 36, Avon, IN 46123-7982 2013-01-10
1710282439 Unity Healthcare, LLC Anesthesiology 3738 Landmark Drive, Suite A, Lafayette, IN 47905-6633 2011-01-12
1073831160 Shahbaz Qavi Anesthesiology 107 S Washington St Ste C, Kokomo, IN 46901-4601 2010-05-13
1750522660 Nicolaus D Winters Anesthesiology 7145 E Virginia St Ste 5000, Evansville, IN 47715-9143 2009-03-23
1245449172 Charles S Lindzy Anesthesiology 14104 Peddlers Ford, Fort Wayne, IN 46814 2007-05-21
1669500229 Advanced Pain Management Surgery,inc Anesthesiology 4010 W Goeller Blvd, Suite C, Columbus, IN 47201-8892 2007-03-02
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Competitor

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City GREENWOOD
Zip Code 46143

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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