Su Gym Kim
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC


Address: 148 Hazard Ave, Enfield, CT 06082-4520
Phone: 8607142647

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070002 ST FRANCIS HOSPITAL & MEDICAL CENTER
070008 JOHNSON MEMORIAL HOSPITAL

Other Locations

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 Information

Organization Legal Name TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
Physicians 420

Physicians with the same organization

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

Office Location

Street Address 148 HAZARD AVE
City ENFIELD
State CT
Zip 06082-4520

Physicians in the same zip code

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

Competitor

Search similar physicians

City ENFIELD
Zip Code 06082
Specialty PHYSICAL MEDICINE AND REHABILITATION
City + Specialty ENFIELD + PHYSICAL MEDICINE AND REHABILITATION

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Dataset Information

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.

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