SUSAN SUNJUNG KIM I


Address: 63 Shaker Rd, Suite 201, Albany, NY 12204-1030
Phone: 5184713636

SUSAN SUNJUNG KIM I (NPI# 1538481965) 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) 1538481965
Entity Type Individual
Full Name SUSAN SUNJUNG KIM I
Credential MD
Practice Address 63 Shaker Rd
Suite 201
Albany
NY 12204-1030
Mailing Address 4 Palisades Dr
Ste 200
Albany
NY 12205-1443
Practice Telephone 5184713636
Practice Fax Number 5184713668
Mailing Telephone 5185911121
Mailing Fax Number 5186494094
Enumeration Date 2010-02-26
Last Update Date 2016-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
265570 NY Allopathic & Osteopathic Physicians

Other Providers SUSAN KIM

NPI Name Taxonomy Address Enumeration
1194339861 Susan Haesook Kim Pharmacist 1400 2nd St, Edmod, Edmond, OK 73034 2020-09-01
1184263634 Susan Kim Pharmacist 14529 28th Dr Se, Mill Creek, WA 98012-5707 2020-01-02
1548780901 Susan Kim Marriage & Family Therapist 12625 High Bluff Dr Ste 103, San Diego, CA 92130-2053 2017-06-26
1013371210 Susan Kim Pharmacist 192 Orchard Park Dr, Apt 287, Davis, CA 95616-5343 2016-04-13
1861893000 Susan Kim Dietitian, Registered 21011 Storrs Rd, Sackets Harbor, NY 13685-3172 2014-09-08
1033559505 Susan Kim Counselor 2900 Eastlake Ave E, Suite 220, Seattle, WA 98102-3012 2013-06-28
1538424080 Susan Soojin Kim Specialist 12 Sterling Pl, 1st Fl, Edgewater, NJ 07020-1415 2012-07-11
1427202456 Susan Youn Kim Optometrist 3184 Queens East St, Eugene, OR 97401-8525 2008-11-04
1184807257 Susan J. Kim Physical Medicine & Rehabilitation 7703 Floyd Curl Dr, Mc7798, San Antonio, TX 78229-3901 2007-12-12
1619019429 Susan Kim Acupuncturist 4950 Wilshire Blvd, Los Angeles, CA 90010-3805 2007-02-12

Office Location

Street Address 63 SHAKER RD
SUITE 201
City ALBANY
State NY
Zip Code 12204-1030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518960541 Sangbock Kim Physical Medicine & Rehabilitation 63 Shaker Rd, Ste 104, Albany, NY 12204-1030 2005-05-23
1366975831 Dow Behavioral Health Medical PC Psychiatry & Neurology 63 Shaker Rd, Suite G05, Albany, NY 12204-1025 2017-04-11
1104276294 Jessica Riggins Nurse Practitioner 63 Shaker Rd, Suite 201, Albany, NY 12204-1025 2016-06-20
1962815696 St. Peter's Health Partners Medical Associates, P.C. Nurse Practitioner 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 2014-06-10
1932475985 Albany Surgery Associates,pc Surgery 63 Shaker Rd, Ste#203, Albany, NY 12204-1030 2012-03-23
1497054498 Capital District Interventional Spine & Rehabilitation, Pllc Physical Medicine & Rehabilitation 63 Shaker Rd, Albany, NY 12204-1030 2011-03-17
1942501663 Ana Maria Kausel Internal Medicine 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 2010-11-11
1396050613 James E. Striker Md Pllc Orthopaedic Surgery 63 Shaker Rd, Suite G05, Albany, NY 12204-1030 2010-08-11
1346424397 Anna Yermakova Allen Ophthalmology 63 Shaker Rd, Suite 101, Albany, NY 12204-1030 2007-12-27
1508051517 Angela Marie Applebee Psychiatry & Neurology 63 Shaker Rd, Albany, NY 12204-1025 2007-09-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568015352 Chanel Bovian Licensed Practical Nurse 587 Broadway Apt.a2, Menands, NY 12204 2019-07-20
1659853513 David Jonathan Brown Driver 456 North Pearl St., Albany, NY 12204 2018-09-06
1255686481 Adam Michael Burman Pharmacist 350 Northern Boulevard, Albany, NY 12204 2012-07-13
1043579196 Victoria Epstein Ophthalmology 63 Shaker Rd Ste 101, Albany, NY 12204 2012-05-10
1306117270 Jacqueline J Swenson Physical Therapist Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 2012-01-24
1730466681 Kathleen C Dalcol Registered Nurse 570 North Pearl Street, North Albany Academy, Albany, NY 12204 2011-11-07
1649592049 Shirley L Savage Licensed Practical Nurse 150 Broadway Ave., Suite 310, Menands, NY 12204 2010-02-26
1801084645 The Embryology Network Clinical Medical Laboratory 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 2007-10-05
1124248430 Prime Care Physicians, P.l.l.c. Internal Medicine 63 Albany Shaker Road, Suite 102, Albany, NY 12204 2007-04-27
1578788204 Antoinette June Holman Licensed Practical Nurse Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 2007-04-16
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841204435 Erik Appel Cohen Internal Medicine 1365 Washington Avenue Suite 300, The Endocrine Group, Albany, NY 12206 2006-07-28
1609879709 Mark Lester Fruiterman Internal Medicine 1365 Washington Ave, Ste 300, Albany, NY 12206-1098 2005-05-23
1225425259 Mohsinah Usmani Internal Medicine 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2015-04-16
1508280389 Albany Medical College Internal Medicine 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 2014-02-13
1942501663 Ana Maria Kausel Internal Medicine 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 2010-11-11
1750525606 Grace Kim Internal Medicine 47 New Scotland Ave, Internal Medicine, Albany, NY 12208-3412 2009-04-22
1215141056 Michael Esposito & Richard Ginsburg Ptr Internal Medicine 614 Madison Ave, Albany, NY 12208 2007-05-10
1518034750 Richard Mark Ginsburg Internal Medicine 614 Madison Ave, Albany, NY 12208 2006-11-30
1497857007 Sara Nielsen Clark Internal Medicine 47 New Scotland Ave, Albany, NY 12208-3412 2006-09-03
1386689248 Albany Medical College Internal Medicine 47 New Scotland Ave, Mc: 57, Albany, NY 12208-3412 2006-06-17
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City ALBANY
Zip Code 12204

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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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