Shine H Kim (NPI# 1093968737, PAC ID# 8921161647) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1093968737 |
| PAC ID by PECOS | 8921161647 |
| Professional Enrollment ID | I20091111000665 |
| Full Name | Shine H Kim |
| Organization Legal Name | SOUTHWEST SUFFOLK MEDICAL, P.C. |
| Address |
50 Route 25a Smithtown NY 11787-1348 |
| Phone Number | 6318623000 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244396349 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| 330154 | MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES |
| Address | Phone | Organization |
|---|---|---|
| 50 Route 25a, Smithtown, NY 11787-1348 | 6318623000 | SOUTHWEST SUFFOLK MEDICAL, P.C. |
| Organization Legal Name | SOUTHWEST SUFFOLK MEDICAL, P.C. |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vishal Mano Thubrikar | Hospitalist | Southwest Suffolk Medical, P.C. | 48 Route 25a 303, Smithtown, NY 11787-1454 |
| Harjot Singh | Hospitalist | Southwest Suffolk Medical, P.C. | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Georgiy I Chikvashvili | Hospitalist | Southwest Suffolk Medical, P.C. | 48 Route 25a 003, Smithtown, NY 11787-1431 |
| Konstadinos J Spyris | Hospitalist | Southwest Suffolk Medical, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Syed A Kamal | Hospitalist | Southwest Suffolk Medical, P.C. | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Carlos Kim | Hospitalist | Southwest Suffolk Medical, P.C. | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Salma S Islam | Hospitalist | Southwest Suffolk Medical, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Omar Syed Ahmad | Hospitalist | Southwest Suffolk Medical, P.C. | 1000 Montauk Hwy, West Islip, NY 11795-4927 |
| Maria V Fedoseeva | Hospitalist | Southwest Suffolk Medical, P.C. | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Manmeet S Ahluwalia | Hospitalist | Southwest Suffolk Medical, P.C. | 100 Port Washington Blvd, Roslyn, NY 11576-1347 |
| Street Address |
50 ROUTE 25A |
| City | SMITHTOWN |
| State | NY |
| Zip | 11787-1348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Konstadinos J Spyris | Hospitalist | Southwest Suffolk Medical, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Maria Teresa Gardella | Nurse Practitioner | Samaritan Medical Services PC | 50 Route 25a, Smithtown, NY 11787-1348 |
| Salma S Islam | Hospitalist | Southwest Suffolk Medical, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Nicolae D Bizeta | Infectious Disease | 50 Route 25a, Smithtown, NY 11787-1348 | |
| Kausar Shamim | Psychiatry | St Catherine of Siena Medical Center | 50 Route 25a, Smithtown, NY 11787-1348 |
| Christina M Antoine | Hospitalist | Southwest Suffolk Medical, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Abhay Malhotra | Cardiovascular Disease (cardiology) | Cardiac Ekg Interpretation, P. C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Howard T Eichenstein | Emergency Medicine | Siena Emergency Medical Services, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Carole R Capparelli | Nurse Practitioner | Samaritan Medical Services PC | 50 Route 25a, Smithtown, NY 11787-1348 |
| Rakesh K Goyal | Internal Medicine | Southwest Suffolk Medical, P.C. | 50 Route 25a, Smithtown, NY 11787-1348 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronak T Shah | Pulmonary Disease | Stony Brook Internists, University Faculty Practice Corporation | 240 Middle Country Rd, Smithtown, NY 11787 |
| Haidee Ganz-bonhurst | Physical Therapy | 50 Route 111, Suite 103, Smithtown, NY 11787 | |
| Paula Pagan-rosas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Rosemary D Cabanillas | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Angela R Cammarata | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Edward D Smith Iii | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Theresa A Keane | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Jennifer Michelle Digiovanni | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Joanne M Varrichio | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Colleen J Kalman | Clinical Social Worker | Long Island Elder Care Lcsw Pllc | 51 Rose St, Smithtown, NY 11787-1052 |
| Find all physicians in zip 11787 | |||
| City | SMITHTOWN |
| Zip Code | 11787 |
| Specialty | HOSPITALIST |
| City + Specialty | SMITHTOWN + HOSPITALIST |
Please comment or provide details below to improve the information on Shine 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.