Samuel Kim (NPI# 1629386388, PAC ID# 8426274309) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1629386388 |
| PAC ID by PECOS | 8426274309 |
| Professional Enrollment ID | I20140730000565 |
| Full Name | Samuel Kim |
| Organization Legal Name | BAPTIST PRIMARY CARE INC |
| Address |
1660 Prudential Dr Suite 310 Jacksonville FL 32207-8197 |
| Phone Number | 9043968656 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 0648177733 |
| Number of Group Practice Members | 308 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100140 | BAPTIST MEDICAL CENTER NASSAU |
| 110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 9043968656 | BAPTIST PRIMARY CARE INC |
| Organization Legal Name | BAPTIST PRIMARY CARE INC |
| Physicians | 322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Gardner Rich | Family Medicine | Baptist Primary Care Inc | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 |
| Muhammad A Ghazi | Family Medicine | Baptist Primary Care Inc | 9090 Regency Square Blvd, Jacksonville, FL 32211-8119 |
| Jami D Feltner | Internal Medicine | Baptist Primary Care Inc | 2014 University Blvd W, Jacksonville, FL 32217-2016 |
| Hiro Rahbar | Family Medicine | Baptist Primary Care Inc | 98 Nocatee Village Dr, Ponta Vedra, FL 32801 |
| Heather S Applewhite | Family Medicine | Baptist Primary Care Inc | 11236 Baptist Health Dr, Suite 220, Jacksonville, FL 32218-2988 |
| Kristie Driver | Family Medicine | Baptist Primary Care Inc | 4530 Saint Johns Ave, Suite 13, Jacksonville, FL 32210-1852 |
| Sandrela Mussallam Abu Shaibeh | Hospitalist | Baptist Primary Care Inc | 820 Prudential Dr, Suite 304, Jacksonville, FL 32207-8207 |
| Marla R Capes | Nurse Practitioner | Baptist Primary Care Inc | 559 W Twincourt Trl, Suite 601, St Augustine, FL 32095-8805 |
| Andrew T Pinder | Family Medicine | Baptist Primary Care Inc | 8355 Merchants Gate Dr, Jacksonville, FL 32222-5848 |
| Stacy Quinn | Family Medicine | Baptist Primary Care Inc | 769 Blanding Blvd, Suite 7, Orange Park, FL 32065-8700 |
| Street Address |
1660 PRUDENTIAL DR SUITE 310 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32207-8197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Claytor | Nurse Practitioner | Baptist Primary Care Inc | 1660 Prudential Dr, Suite 400, Jacksonville, FL 32207-8188 |
| Archana Goel | Rheumatology | Baptist Primary Care Inc | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 |
| Nicole D Harris | Family Medicine | Baptist Primary Care Inc | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 |
| Sharon Lorine Reinertsen Garland | Family Medicine | Baptist Primary Care Inc | 1660 Prudential Dr, Suite 400, Jacksonville, FL 32207-8188 |
| Shariq Refai | Psychiatry | Baptist Behavioral Health LLC | 1660 Prudential Dr, Suite 410, Jacksonville, FL 32207-8197 |
| Joseph J Czerkawski Jr. | Internal Medicine | Baptist Primary Care Inc | 1660 Prudential Dr, Suite 400, Jacksonville, FL 32207-8188 |
| Adam Bagley | Rheumatology | Baptist Primary Care Inc | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 |
| Robert Eric Rosemund Jr. | Internal Medicine | Baptist Primary Care Inc | 1660 Prudential Dr, Suite 400, Jacksonville, FL 32207-8188 |
| Alejandro I Traveria | Internal Medicine | Baptist Primary Care Inc | 1660 Prudential Dr, Suite 400, Jacksonville, FL 32207-8188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alethea B Brown | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Joseph C Holley | Nurse Practitioner | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Richard Alan De La Cruz | Emergency Medicine | My Choice Housecalls LLC | 1611 Mayfair Rd, Suite 202, Jacksonville, FL 32207-2346 |
| Nancy A Gilliom | Audiologist | Hear Better Centers LLC | 2051 Art Museum Dr, Jacksonville, FL 32207-2512 |
| Theresa B Scully | Physical Therapy | Therapyworks of Jacksonville Inc | 1819 Hendericks Ave, Suite 2and3, Jacksonville, FL 32207-3303 |
| Heloise L Murphy | Physical Therapy | Therapyworks of Jacksonville Inc | 1819 Hendericks Ave, Jacksonville, FL 32207-3303 |
| Francis X Palmieri | Clinical Social Worker | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Joyce G Stoddart | Clinical Social Worker | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Eduardo A Sanchez | Psychiatry | 1667 Atlantic Blvd, Jacksonville, FL 32207-3346 | |
| Elena Akra | Psychologist, Clinical | Akra Professional Services | 1551 Atlantic Blvd, Suite 101, Jacksonville, FL 32207-3369 |
| Find all physicians in zip 32207 | |||
| City | JACKSONVILLE |
| Zip Code | 32207 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | JACKSONVILLE + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Samuel 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.