DR. SUSAN KIM (NPI# 1972986768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972986768 |
| Entity Type | Individual |
| Full Name | DR. SUSAN KIM |
| Credential | M.D. |
| Practice Address |
145 N Medical Pkwy Woodstock GA 30189-7031 |
| Practice Telephone | 7705923000 |
| Mailing Telephone | 7705923000 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 80466 | GA | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
145 N MEDICAL PKWY |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-7031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393151 | Asher F Niazi | Internal Medicine | 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 2005-06-01 |
| 1285977355 | Alyssa Lauren Kesselman | Nurse Practitioner | 145 N Medical Pkwy, Pediatrics, Woodstock, GA 30189-7031 | 2013-03-27 |
| 1154627115 | Wellstar Medical Group, LLC | Pediatrics | 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 2011-02-08 |
| 1548566185 | Wellstar Medical Group, LLC | Family Medicine | 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 2011-01-30 |
| 1992907760 | Keerthi Mulamalla | Family Medicine | 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 2007-06-04 |
| 1164478426 | Wellstar Towne Lake Medical Center, LLC | Family Medicine | 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 2006-05-26 |
| 1801860564 | Vickie Mcmillan | Nurse Practitioner | 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 2006-02-17 |
| 1962492207 | Sharnee E Straub | Nurse Practitioner | 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 2005-10-27 |
| 1497745467 | Robert Hudec | Family Medicine | 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 2005-10-21 |
| 1255320479 | Charles K Khoury | Family Medicine | 145 N Medical Pkwy, Woodstock, GA 30189-7031 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| 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 |
|---|---|---|---|---|
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1649623414 | Emily Chan | Family Medicine | 759 S Main St Ste 310, Woodstock, VA 22664-1156 | 2016-07-18 |
| 1164843389 | Stacey A O'brien | Family Medicine | 14205 Highway 92 Ste 105, Woodstock, GA 30188-7138 | 2013-12-16 |
| 1386997765 | Weatherstone Medical Care LLC. | Family Medicine | 3203 S Cherokee Ln, Suite 220, Woodstock, GA 30188-4461 | 2012-10-22 |
| 1629396585 | Lata Parvathaneni | Family Medicine | 900 Towne Lake Pkwy Ste 410, Woodstock, GA 30189-1604 | 2010-05-17 |
| 1992934400 | Donn J. Wiedershine, M.d., P.C. | Family Medicine | 62 Ricks Road, Woodstock, NY 12498 | 2009-07-06 |
| 1699899096 | Hugh P Hermann | Family Medicine | Hugh P. Hermann, 4 The Green, Woodstock, VT 05091 | 2007-03-19 |
| 1538293725 | Hugh P. Hermann, M.d. | Family Medicine | 4 The Grn, Woodstock, VT 05091-1345 | 2007-03-16 |
| 1912038142 | Northside Family Practice, LLC | Family Medicine | 100 Stone Forest Drive, Suite 320, Woodstock, GA 30189 | 2007-03-08 |
| 1336224260 | Jacob Ward | Family Medicine | 1200 Buckhead Xing Ste B, Woodstock, GA 30189-4259 | 2006-10-26 |
| Find all providers in WOODSTOCK | ||||
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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.