Peter Y Kim (NPI# 1902832819, PAC ID# 6002884905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.
| Nation Provider ID (NPI) | 1902832819 |
| PAC ID by PECOS | 6002884905 |
| Professional Enrollment ID | I20040920000107 |
| Full Name | Peter Y Kim |
| Organization Legal Name | WEST FLORIDA CARDIOLOGY NETWORK, LLC |
| Address |
131 S Citrus Ave Suite 302 Inverness FL 34452-4701 |
| Phone Number | 3526370211 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | CARDIAC SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 8729260641 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100023 | CITRUS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 131 S Citrus Ave, Suite 302, Inverness, FL 34452-4701 | 3526370211 | WEST FLORIDA CARDIOLOGY NETWORK, LLC |
| Organization Legal Name | WEST FLORIDA CARDIOLOGY NETWORK, LLC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josip Katinic | Nurse Practitioner | West Florida Cardiology Network, LLC | 6006 49th St N, Suite 200, Saint Petersburg, FL 33709-2149 |
| Charles J Bailey | Vascular Surgery | West Florida Cardiology Network, LLC | 270 S Moon Ave, Brandon, FL 33511-5711 |
| Thomas S Gennara | Physician Assistant | West Florida Cardiology Network, LLC | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Robert M Diana | Physician Assistant | West Florida Cardiology Network, LLC | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Stacy Christine Kaniok | Nurse Practitioner | West Florida Cardiology Network, LLC | 1345 W Bay Dr, Suite 304, Largo, FL 33770-2276 |
| Heather Tate | Physician Assistant | West Florida Cardiology Network, LLC | 1615 Pasadena Ave S, Suite 300, South Pasadena, FL 33707-4567 |
| Robert Sanchez | Cardiovascular Disease (cardiology) | West Florida Cardiology Network, LLC | 6000 49th St N, Saint Petersburg, FL 33709-2114 |
| Richard E Jackson | Physician Assistant | West Florida Cardiology Network, LLC | 6006 49th St N, Suite 200, Saint Petersburg, FL 33709-2149 |
| Christopher C Kwon | Thoracic Surgery | West Florida Cardiology Network, LLC | 6006 49th St N, Suite 200, Saint Petersburg, FL 33709-2149 |
| Maria Rodriguez | Physician Assistant | West Florida Cardiology Network, LLC | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Street Address |
131 S CITRUS AVE SUITE 302 |
| City | INVERNESS |
| State | FL |
| Zip | 34452-4701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey P Jordan | Internal Medicine | Citrus Primary Care Inc | 131 S Citrus Ave, Inverness, FL 34452-4701 |
| Ronald J Dortonne | Internal Medicine | Citrus Primary Care Inc | 131 S Citrus Ave, Inverness, FL 34452-4701 |
| Avinash Laxman Jadhav | Orthopedic Surgery | Citrus Specialty Group Inc | 131 S Citrus Ave, Suite 301, Inverness, FL 34452-4701 |
| Bao-thuy D Hoang | Thoracic Surgery | West Florida Cardiology Network, LLC | 131 S Citrus Ave, Suite 302, Inverness, FL 34452-4701 |
| Thomas E Hendrick | General Surgery | 131 S Citrus Ave, Inverness, FL 34452-4701 | |
| Rafael A Espejo | Anesthesiology | Citrus Cardiovascular Anesthesia Associates Pllc | 131 S Citrus Ave, Inverness, FL 34452-4701 |
| Christopher Paul Swinney | Anesthesiology | Citrus Cardiovascular Anesthesia Associates Pllc | 131 S Citrus Ave, Inverness, FL 34452-4701 |
| Lawrence R Harrison | Anesthesiology | Citrus Cardiovascular Anesthesia Associates Pllc | 131 S Citrus Ave, Inverness, FL 34452-4701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meena R Nathan | Internal Medicine | 840 S Bea Ave, Inverness, FL 34452-3603 | |
| Rama V Nathan | Otolaryngology | 820 S Bea Ave, Inverness, FL 34452-3603 | |
| Vikas G Kamat | Internal Medicine | Meena R Nathan Md Pa | 840 S Bea Ave, Inverness, FL 34452-3603 |
| Charles K Zachar | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Mark D Jacobson | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Riccardo M De Girolami | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Derek D Benthusen | Physical Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Laura Mae Mazelis | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Sherrie Kearse Ramsay | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Kristina Shipman | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Find all physicians in zip 34452 | |||
| City | INVERNESS |
| Zip Code | 34452 |
| Specialty | CARDIAC SURGERY |
| City + Specialty | INVERNESS + CARDIAC SURGERY |
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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.