Sue Y Kim (NPI# 1629061247, PAC ID# 4284693813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1629061247 |
| PAC ID by PECOS | 4284693813 |
| Professional Enrollment ID | I20070920000662 |
| Full Name | Sue Y Kim |
| Organization Legal Name | ANDOVER OBSTETRICS AND GYNECOLOGICAL ASSOCIATES PC |
| Address |
323 Lowell St Suite 302 Andover MA 01810-4501 |
| Phone Number | 9784752731 |
| Gender | F |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2000 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0345224648 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220010 | LAWRENCE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 323 Lowell St, Suite 302, Andover, MA 01810-4501 | 9784752731 | ANDOVER OBSTETRICS AND GYNECOLOGICAL ASSOCIATES PC |
| Organization Legal Name | ANDOVER OBSTETRICS AND GYNECOLOGICAL ASSOCIATES PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin C Radke | Obstetrics/gynecology | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Andrea B Polonsky | Obstetrics/gynecology | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Ann D Cerami | Certified Nurse Midwife (cnm) | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Elise E Saks | Obstetrics/gynecology | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Katerina A Mooers | Nurse Practitioner | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Thomas E Davidson | Obstetrics/gynecology | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Sarah B Finch | Obstetrics/gynecology | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Abby A Smith | Obstetrics/gynecology | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Street Address |
323 LOWELL ST SUITE 302 |
| City | ANDOVER |
| State | MA |
| Zip | 01810-4501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana L Dion | Nurse Practitioner | Orthopaedics Northeast, LLC | 323 Lowell St, Andover, MA 01810-4501 |
| Nancy C Landay | General Surgery | Community Medical Associates, Inc. | 323 Lowell St, Andover, MA 01810-4501 |
| David A Palma | Physical Medicine and Rehabilitation | Orthopaedics Northeast, LLC | 323 Lowell St, Andover, MA 01810-4501 |
| Arthur L Zerbey Iii | Diagnostic Radiology | L and M Radiology Inc | 323 Lowell St, Andover, MA 01810-4501 |
| Kelsey Berlin | Physician Assistant | Orthopaedics Northeast, LLC | 323 Lowell St, Andover, MA 01810-4501 |
| Steven J Andriola | Sports Medicine | Orthopaedics Northeast, LLC | 323 Lowell St, Andover, MA 01810-4501 |
| Edwin C Radke | Obstetrics/gynecology | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Garkie Zhu | Physician Assistant | Orthopaedics Northeast, LLC | 323 Lowell St, Andover, MA 01810-4501 |
| Earl R Gonzales | General Surgery | Community Medical Associates, Inc. | 323 Lowell St, Andover, MA 01810-4501 |
| Andrea B Polonsky | Obstetrics/gynecology | Andover Obstetrics and Gynecological Associates PC | 323 Lowell St, Suite 302, Andover, MA 01810-4501 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Devlin | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Jill Gaspar | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Andover, MA 01810-1071 |
| Heather Mcclintock | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Lisa M Gagne Hansford | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Donna Ferlito Brown | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Kristen M Keane | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Joan L Dumais | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Lauren Giuffre | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Kay Harvey | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Kristin Ricardi | Occupational Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Find all physicians in zip 01810 | |||
| City | ANDOVER |
| Zip Code | 01810 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ANDOVER + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Sue Y 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.