DR. DONNA C KIM (NPI# 1194897801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194897801 |
| Entity Type | Individual |
| Full Name | DR. DONNA C KIM |
| Credential | MD |
| Practice Address |
13 Industrial Park Road Saco ME 04072 |
| Mailing Address |
9 Healthcare Drive Suite 201 Biddeford ME 04005 |
| Practice Telephone | 2072838800 |
| Practice Fax Number | 2072869853 |
| Mailing Telephone | 2072829080 |
| Mailing Fax Number | 2072869853 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 018336 | ME | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | EC-06-1061 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1194897801 | 05 | |
| ME | HARVARD PILGRIM | AA196072 | 01 |
| ME | ANTHEM | 1194897801 | 01 |
| ME | CIGNA | 4888781002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609218015 | Donna Kim | Dietitian, Registered | 3730 Soundview Dr W, University Place, WA 98466-1430 | 2013-07-25 |
| 1821636762 | Donna Maria Kim | Behavior Technician | 4510 Salt Lake Blvd Ste B6, Honolulu, HI 96818-3171 | 2019-12-10 |
| 1679943344 | Donna Y Kim | Marriage & Family Therapist | 43520 Division St, Lancaster, CA 93535 | 2015-10-06 |
| 1073769592 | Donna Hyunchung Kim | Ophthalmology | 3303 Sw Bond Avenue, Casey Eye Physicians and Surgeons, Ohsu, 11th Floor, Portland, OR 97239-4501 | 2008-08-15 |
| 1548246283 | Donna S. Kim | Radiology | 120 N Oak St, Radiology Department, Hinsdale, IL 60521-3829 | 2005-12-15 |
| Street Address |
13 INDUSTRIAL PARK ROAD |
| City | SACO |
| State | ME |
| Zip Code | 04072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619943917 | Kathryn Brandt | Neuromusculoskeletal Medicine & OMM | 13 Industrial Park Road, Saco, ME 04072 | 2006-02-27 |
| 1699106278 | Kristina A Barbaro | Nurse Practitioner | 13 Industrial Park Road, Saco, ME 04072 | 2013-12-06 |
| 1881914554 | Matthew D Stevens | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2010-06-04 |
| 1548494552 | Karen E Dmytrasz | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2009-05-05 |
| 1043473457 | Christine A Kleinman | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2008-07-07 |
| 1558561332 | Kristen N Mitchell | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2007-07-20 |
| 1326180431 | Pam L Guilbeault | Physician Assistant | 13 Industrial Park Road, Saco, ME 04072 | 2007-02-13 |
| 1073577615 | Adele L Carroll | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750659397 | Susan Sara Shaw | Family Medicine | 25 Vernon St, Saco, ME 04072-2722 | 2011-12-11 |
| 1174519235 | Judy Welch | Family Medicine | 9 Beach St, Saco, ME 04072-2801 | 2005-09-23 |
| 1255869897 | Robert Cole Hurley | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2017-05-26 |
| 1447571864 | Catherine Gisele Boucher-cornelio | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072 | 2010-06-21 |
| 1881914554 | Matthew D Stevens | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2010-06-04 |
| 1073833703 | Anastasia R Norman | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072 | 2010-06-04 |
| 1215166533 | Kristen L Barbee | Family Medicine | 655 Main Street, Smmc Primecare Physicians, Saco, ME 04072 | 2009-07-08 |
| 1245465038 | Bradley Smith | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2009-05-21 |
| 1548494552 | Karen E Dmytrasz | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2009-05-05 |
| 1043473457 | Christine A Kleinman | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2008-07-07 |
| Find all providers in SACO | ||||
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| 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.