SU GYM KIM (NPI# 1235418369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235418369 |
Entity Type | Individual |
Full Name | SU GYM KIM |
Credential | M.D. |
Practice Address |
593 Eddy St George Building, First Floor Providence RI 02903-4923 |
Mailing Address |
117 Ellenfield St Suite 101 Providence RI 02905-4513 |
Practice Telephone | 4014443777 |
Practice Fax Number | 4014447249 |
Mailing Telephone | 4014446779 |
Mailing Fax Number | 4014446912 |
Enumeration Date | 2011-08-07 |
Last Update Date | 2017-01-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD15614 | RI | Allopathic & Osteopathic Physicians |
N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
46722 | KY | Allopathic & Osteopathic Physicians |
Street Address |
593 EDDY ST GEORGE BUILDING, FIRST FLOOR |
City | PROVIDENCE |
State | RI |
Zip Code | 02903-4923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952306185 | Mitchel A Sklar | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2005-06-15 |
1376140707 | Kristen Marie Czekanski | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-08 |
1326645300 | Elizabeth Stefanilo | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-03 |
1841807633 | Julie Walden | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-09-26 |
1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
1588273064 | Cassandra Pagnotta | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-30 |
1982213294 | Sabitha Sasidharan Pillai | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-23 |
1861019481 | Courtney Pedersen | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-30 |
1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
1639796642 | Benjamin Hagan | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
Find all providers in zip 02903 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
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1285958439 | Advanced Spine Pain Specialists | Pain Medicine | 286 N Gateway Dr Ste 201, Providence, UT 84332-5603 | 2010-03-17 |
1255520037 | Idaho Pain Center and Anesthesia PC | Pain Medicine | 286 N Gateway Dr, Providence, UT 84332-9733 | 2007-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457639510 | Agora Pain Centers Corporation | Pain Medicine | 55 Harvest Dr, Portsmouth, RI 02871-3317 | 2011-07-23 |
1356394407 | Southern New England Anesthesia and Pain Associates, Inc | Pain Medicine | 102 Smithfield Ave, Pawtucket, RI 02860-3474 | 2006-05-18 |
1326487018 | Precision Pain Treatment Clinic | Pain Medicine | 14 Cedar Swamp Rd, Lower Center, Smithfield, RI 02917-2490 | 2013-06-17 |
1558479261 | Timothy H Olson | Pain Medicine | 25 Wells St, Westerly, RI 02891-2922 | 2006-08-25 |
1043237621 | Anesthesia Associates of Kent County, LLC | Pain Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2006-07-17 |
1235185679 | Associates In Anesthesia, Inc. | Pain Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-05-26 |
1760435093 | Anesthesia Associates of Kent County | Pain Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2006-05-18 |
City | PROVIDENCE |
Zip Code | 02903 |
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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.