Soo H Kim (NPI# 1316100480, PAC ID# 8325280837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
Nation Provider ID (NPI) | 1316100480 |
PAC ID by PECOS | 8325280837 |
Professional Enrollment ID | I20181119000430 |
Full Name | Soo H Kim |
Organization Legal Name | BOULDER VALLEY ANESTHESIOLOGY, LLC |
Address |
1100 Balsam Ave Boulder CO 80304-3404 |
Phone Number | 3034157000 |
Gender | F |
Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2008 |
Primary Specialty | ANESTHESIOLOGY |
Group Practice PAC ID | 7113830993 |
Number of Group Practice Members | 26 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060027 | BOULDER COMMUNITY HEALTH |
Address | Phone | Organization |
---|---|---|
1100 Balsam Ave, Boulder, CO 80304-3404 | 3034157000 | BOULDER VALLEY ANESTHESIOLOGY, LLC |
Organization Legal Name | BOULDER VALLEY ANESTHESIOLOGY, LLC |
Physicians | 28 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard G Gildersleeve | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Sean C Malin | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Justin P Meschler | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Brian S Gebhardt | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
William S Trask Iv | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Mihai B Murarescu | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Owen G Ellis | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Jessica H Statz | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Stephen K Layne | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Kenyon S Morrow | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Street Address |
1100 BALSAM AVE |
City | BOULDER |
State | CO |
Zip | 80304-3404 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard G Gildersleeve | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Sean C Malin | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Justin P Meschler | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Maher Salahi | Interventional Radiology | Boulder Radiologists Inc PC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Brian S Gebhardt | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
William S Trask Iv | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Mihai B Murarescu | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Owen G Ellis | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Jessica H Statz | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Stephen K Layne | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey S Rumbyrt | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
William H Newman | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
Francine G Andrews | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
Karen Wegela | Psychologist, Clinical | 2590 Norwood Ave, Boulder, CO 80304-1363 | |
Carol J Schneider | Psychologist, Clinical | 1229 Kalmia Ave, Boulder, CO 80304-1810 | |
Allison E Morrison | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
Steven D Resnick | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
Todd C. Becker | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
John R Steinbaugh | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
Carol Louise Spar | Psychologist, Clinical | 2163 Kalmia Cir, Boulder, CO 80304-1912 | |
Find all physicians in zip 80304 |
City | BOULDER |
Zip Code | 80304 |
Specialty | ANESTHESIOLOGY |
City + Specialty | BOULDER + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Soo H 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.