SU GYM KIM


Address: 593 Eddy St, George Building, First Floor, Providence, RI 02903-4923
Phone: 4014443777

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 593 EDDY ST
GEORGE BUILDING, FIRST FLOOR
City PROVIDENCE
State RI
Zip Code 02903-4923

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City PROVIDENCE
Zip Code 02903

Improve Information

Please comment or provide details below to improve the information on SU GYM KIM.

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.

Trending Searches