Sung-won Kim (NPI# 1558577627, PAC ID# 0941450571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1558577627 |
| PAC ID by PECOS | 0941450571 |
| Professional Enrollment ID | I20121017000255 |
| Full Name | Sung-won Kim |
| Organization Legal Name | EAR, NOSE AND THROAT ASSOCIATES SW, INC.P.S. |
| Address |
128 Lilly Rd Ne Suite 202 Olympia WA 98506-5029 |
| Phone Number | 3603576314 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5294633400 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| 500019 | PROVIDENCE CENTRALIA HOSPITAL |
| 500031 | GRAYS HARBOR COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 | 3603576314 | EAR, NOSE AND THROAT ASSOCIATES SW, INC.P.S. |
| Organization Legal Name | EAR, NOSE AND THROAT ASSOCIATES SW, INC.P.S. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew E Jung | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Nathan B Sautter | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Cheri A Wolfe Haas | Qualified Audiologist | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Robert D Russell | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Ray E Jensen | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Jeffrey L Hall | Audiologist | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Patricia A Gilmer | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Christy K Huynh | Audiologist | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Street Address |
128 LILLY RD NE SUITE 202 |
| City | OLYMPIA |
| State | WA |
| Zip | 98506-5029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew E Jung | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Nathan B Sautter | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Sara Jane Wasilenko | Vascular Surgery | Providence Health and Services Washington | 128 Lilly Rd Ne, Suite 205, Olympia, WA 98506-7400 |
| Amy L. O'boyle | Obstetrics/gynecology | Providence Health and Services Washington | 128 Lilly Rd Ne, Suite 205, Olympia, WA 98506-7400 |
| Thomas K Curry | Vascular Surgery | Providence Health and Services Washington | 128 Lilly Rd Ne, Suite 205, Olympia, WA 98506-7400 |
| Cheri A Wolfe Haas | Qualified Audiologist | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Robert D Russell | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Ray E Jensen | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Jeffrey L Hall | Audiologist | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Patricia A Gilmer | Otolaryngology | Ear, Nose and Throat Associates Sw, Inc.p.s. | 128 Lilly Rd Ne, Suite 202, Olympia, WA 98506-5029 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew P Rosser | Chiropractic | 705 4th Ave E, Suite 102, Olympia, WA 98506-3929 | |
| Martha H Henderson | Nurse Practitioner | Molly Henderson Arnp Inc | 1005 Olympia Neave, Olympia, WA 98506-4033 |
| Molly J Staley | Clinical Social Worker | 1204 4th Ave E Stuite, 1 Marriage and Family Therapy Associates LLC, Olympia, WA 98506-4276 | |
| Joseph D Byus | Chiropractic | 1709 State Ave Ne, Olympia, WA 98506-4556 | |
| Roy C Evans | Chiropractic | 1709 State Ave Ne, Olympia, WA 98506-4556 | |
| Donald R Lathrop Jr. | Chiropractic | 1728 State Ave Ne, Capitol Chiropractic and Family Wellness, Olympia, WA 98506-4557 | |
| Rick A Calcara | Chiropractic | 1946 4th Ave E, Olympia, WA 98506-4632 | |
| Marjean Swartling | Chiropractic | 1920 State Ave Ne, Olympia, WA 98506-4652 | |
| Jerod Scott Stanley | Podiatry | Stanley and Utterback | 2828 Martin Way E, Olympia, WA 98506-4946 |
| Aaron K Utterback | Podiatry | Stanley and Utterback | 2828 Martin Way E, Olympia, WA 98506-4946 |
| Find all physicians in zip 98506 | |||
| City | OLYMPIA |
| Zip Code | 98506 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | OLYMPIA + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Sung-won Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.