Su Gym Kim (NPI# 1235418369, PAC ID# 5395969943) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1235418369 |
| PAC ID by PECOS | 5395969943 |
| Professional Enrollment ID | I20190207002162 |
| Full Name | Su Gym Kim |
| Organization Legal Name | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Address |
148 Hazard Ave Enfield CT 06082-4520 |
| Phone Number | 8607142647 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 0941113567 |
| Number of Group Practice Members | 399 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070002 | ST FRANCIS HOSPITAL & MEDICAL CENTER |
| 070008 | JOHNSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 148 Hazard Ave, Enfield, CT 06082-4520 | 8607142647 | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| 490 Blue Hills Ave, Hartford, CT 06112-1513 | 8607142647 | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Organization Legal Name | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Physicians | 420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Graham Bittner | General Surgery | Trinity Health of New England Provider Network Organization Inc | 220 Farmington Ave, Farmington, CT 06032-1949 |
| Amarpreet Sanghera | Hospitalist | Trinity Health of New England Provider Network Organization Inc | 95 Woodland St, Hartford, CT 06105-1230 |
| Sampada Acharya | Rheumatology | Trinity Health of New England Provider Network Organization Inc | 11 S Rd, Farmington, CT 06032-2483 |
| Jesse M Kavumpurath | Nurse Practitioner | Trinity Health of New England Provider Network Organization Inc | 24 Battle St, Suite 1a, Somers, CT 06071-1629 |
| Christopher J Mozdzanowski | Emergency Medicine | Trinity Health of New England Provider Network Organization Inc | 140 Hazard Ave, Enfield, CT 06082-5424 |
| Sandra E Cordoba Vargas | Internal Medicine | Trinity Health of New England Provider Network Organization Inc | 500 Blue Hills Ave, Hartford, CT 06112-1500 |
| Richard A Cagna | Internal Medicine | Trinity Health of New England Provider Network Organization Inc | 2 Concorde Way, Bldg 2, Windsor Locks, CT 06096-1577 |
| Maria C Renna | Geriatric Medicine | Trinity Health of New England Provider Network Organization Inc | 7 Elm St, Enfield, CT 06082-3670 |
| Robert J Krug | Physical Medicine and Rehabilitation | Trinity Health of New England Provider Network Organization Inc | 490 Blue Hills Ave, Hartford, CT 06112-1513 |
| Raul Mendelovici | Obstetrics/gynecology | Trinity Health of New England Provider Network Organization Inc | 580 Cottage Grove Rd, Suite 205, Bloomfield, CT 06002-3088 |
| Street Address |
148 HAZARD AVE |
| City | ENFIELD |
| State | CT |
| Zip | 06082-4520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Marie Sawyer | Nurse Practitioner | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Julie Marie Wondolowski | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Kaitlin Grant Pulito | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Dominic Louis Demello | Rheumatology | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Claudia Artime | Internal Medicine | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Alana C Rebollo | Physician Assistant | Springfield Medical Associates, Inc. | 701 Enfield St, Enfield, CT 06082-2961 |
| Scott M Cato | Chiropractic | 701 Enfield St, Suite 170, Enfield, CT 06082-2961 | |
| Kyle A Richards | Cardiovascular Disease (cardiology) | Pioneer Valley Cardiology Associates, Inc | 701 Enfield St, Enfield, CT 06082-2961 |
| Thomas P Misiewicz | Optometry | 25 N Main St, Enfield, CT 06082-3327 | |
| Shadana Smith-grant | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 875 Enfield St, Enfield, CT 06082-3617 |
| Find all physicians in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | ENFIELD + PHYSICAL MEDICINE AND REHABILITATION |
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| 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.