Dae Yun Kim (NPI# 1003000597, PAC ID# 4082848189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1003000597 |
| PAC ID by PECOS | 4082848189 |
| Professional Enrollment ID | I20150912000130 |
| Full Name | Dae Yun Kim |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
1145 S Utica Ave Suite 701 Tulsa OK 74104-4019 |
| Phone Number | 9185826544 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 9436122496 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370001 | HILLCREST MEDICAL CENTER |
| 370202 | HILLCREST HOSPITAL SOUTH |
| 370183 | HILLCREST HOSPITAL HENRYETTA |
| 370057 | MUSCOGEE (CREEK) NATION MEDICAL CENTER |
| 370039 | HILLCREST HOSPITAL CLAREMORE |
| Address | Phone | Organization |
|---|---|---|
| 1145 S Utica Ave, Suite 701, Tulsa, OK 74104-4019 | 9185826544 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Physicians | 266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammie Wall Kelley | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Lisa Mask Bull | Dermatology | Ahs Oklahoma Physician Group LLC | 9245 S Mingo Rd, Tulsa, OK 74133-5793 |
| Kelsey Spencer | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 2400 N Hwy 66 B, Utica Park Clinic Catoosa, Catoosa, OK 74015-3074 |
| Valerie Anne Mitchell | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Christina Lou Martin | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 1551 N 9th St, Utica Park Clinic Broken Arrow North, Broken Arrow, OK 74012-8898 |
| Kristine Elaine Bryant | Obstetrics/gynecology | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Elwood F Williams Iii | Interventional Pain Management | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Ave, 100 Utica Park Clinic, Tulsa, OK 74133-7546 |
| Jaclyn Duvall | Neurology | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Avenue, 280 Utica Park Clinic Neurology South, Tulsa, OK 74133-5783 |
| Aimee K Musgrove | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 6528 E 101st St, Suite I, Tulsa, OK 74133-6754 |
| Jeannette Windschitl | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 10215 N 110th E Ave, Suite 200, Owasso, OK 74055-6638 |
| Street Address |
1145 S UTICA AVE SUITE 701 |
| City | TULSA |
| State | OK |
| Zip | 74104-4019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jared D Qualls | Nurse Practitioner | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Brent C Mcanulty | Hospitalist | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Yanming Chen | Hospitalist | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Linda Ngorima | Nurse Practitioner | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Janet Cheek | Hospitalist | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Christie Deloris Shelly | Nurse Practitioner | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Edie Carey | Hospitalist | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Stanley W Tallon Jr. | Nurse Practitioner | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Shravan K Shrestha | Hospitalist | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Violet K Darrow | Nurse Practitioner | Tulsa Hospitalists Inc | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4041 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Patrick | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Monte Harrel | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Curtis V Wolf Ii | Ophthalmology | 1145 S Utica Ave, Suite 362, Tulsa, OK 74104-4004 | |
| Kay L Worley | Neurology | Neuro Links of Tulsa, L.L.C. | 1145 S Utica Ave, Suite 901, Tulsa, OK 74104-4005 |
| Gabriela Corsi Vasquez | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Sristi Bhattarai | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Stephan Hambaz | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Zubair Ashraf | Rheumatology | 1145 S Utica Ave, Suite 1109, Tulsa, OK 74104-4010 | |
| Michelle M Pieratt | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Ivan Kozhulenko | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Find all physicians in zip 74104 | |||
| City | TULSA |
| Zip Code | 74104 |
| Specialty | UROLOGY |
| City + Specialty | TULSA + UROLOGY |
Please comment or provide details below to improve the information on Dae Yun 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.