Michael D Kim (NPI# 1427002179, PAC ID# 1759393051) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1427002179 |
| PAC ID by PECOS | 1759393051 |
| Professional Enrollment ID | I20060719000003 |
| Full Name | Michael D Kim |
| Organization Legal Name | SCRANTON NEUROLOGICAL ASSOCIATES PC |
| Address |
802 Jefferson Ave Scranton PA 18510-1038 |
| Phone Number | 5703483361 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 9133014897 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390237 | REGIONAL HOSPITAL OF SCRANTON |
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| 390119 | MOSES TAYLOR HOSPITAL |
| 390125 | WAYNE MEMORIAL HOSPITAL |
| 390137 | WILKES-BARRE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 802 Jefferson Ave, Scranton, PA 18510-1038 | 5703483361 | SCRANTON NEUROLOGICAL ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 90% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 45% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 89% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 79% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 27% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 3% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 1% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 35% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 56% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SCRANTON NEUROLOGICAL ASSOCIATES PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Baccoli | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Ralf Willem Vandersluis | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Juan C Barrera | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Seth M Jones | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Street Address |
802 JEFFERSON AVE |
| City | SCRANTON |
| State | PA |
| Zip | 18510-1038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Baccoli | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Ralf Willem Vandersluis | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Juan C Barrera | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Daniel Reese Shust | Family Medicine | Scranton Quincy Clinic Company LLC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Anees Robert Fogley | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | |
| Seth M Jones | Neurology | Scranton Neurological Associates PC | 802 Jefferson Ave, Scranton, PA 18510-1038 |
| Charles Steven Deck | Internal Medicine | 802 Jefferson Ave, Scranton, PA 18510-1038 | |
| Amy Michelle Ferranti | Physician Assistant | Cognetti and Conaboy Fam Prac | 802 Jefferson Ave, 1st Fl, Scranton, PA 18510-1080 |
| Jeremiah W Eagen | Nephrology | Northeast Pennsylvania Nephrology Associates P C | 802 Jefferson Ave, Scranton, PA 18510-1080 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Pagnotti | Clinical Psychologist | 824 Adams Ave, Scranton, PA 18510-1002 | |
| Judith Frisbie | Clinical Social Worker | 819 Jefferson Ave, Scranton, PA 18510-1031 | |
| Sheryl J Gross | Clinical Social Worker | 811 Quincy Ave, Scranton, PA 18510-1117 | |
| Joseph J Delserra | General Surgery | Northeastern Surgical Specialists P C | 1110 Clay Ave, Dunmore, PA 18510-1137 |
| Kelly Mcguire | General Surgery | Northeastern Surgical Specialists P C | 1110 Clay Ave, Dunmore, PA 18510-1137 |
| Catherine Patrick | Family Medicine | Geisinger Clinic | 1140 Quincy Ave, Dunmore, PA 18510-1150 |
| Michael Alocci | Internal Medicine | Geisinger Clinic | 1140 Quincy Ave, Dunmore, PA 18510-1150 |
| Alexis Mae Axtell | Physician Assistant | Scot R Mckenna Md PC | 1140 Quincy Ave, Dunmore, PA 18510-1150 |
| Christopher J Yanusas | Psychologist, Clinical | 1141 Clay Ave, Suite 4, Dunmore, PA 18510-1191 | |
| Rita M Tinsley | Clinical Social Worker | 1141 Clay Ave, Dunmore, PA 18510-1191 | |
| Find all physicians in zip 18510 | |||
| City | SCRANTON |
| Zip Code | 18510 |
| Specialty | NEUROLOGY |
| City + Specialty | SCRANTON + NEUROLOGY |
Please comment or provide details below to improve the information on Michael D 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.