Suk Namkoong (NPI# 1639123672, PAC ID# 9830164730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1639123672 |
| PAC ID by PECOS | 9830164730 |
| Professional Enrollment ID | I20040901001160 |
| Full Name | Suk Namkoong |
| Organization Legal Name | NORTHERN BERKSHIRE MEDICAL PC |
| Address |
375 Main St Williamstown MA 01267-2610 |
| Phone Number | 4133981000 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4183907603 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470012 | SOUTHWESTERN VERMONT MEDICAL CENTER |
| 220046 | BERKSHIRE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Hospital Dr, Bennington, VT 05201-5004 | 4133981000 | NORTHERN BERKSHIRE MEDICAL PC |
| 332 Dewey St, Bennington, VT 05201-2225 | 8024426314 | SOUTHWESTERN VERMONT MEDICAL CENTER INC |
| 375 Main St, Williamstown, MA 01267-2610 | 4133981000 | NORTHERN BERKSHIRE MEDICAL PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTHERN BERKSHIRE MEDICAL PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel W Smith Jr. | Physician Assistant | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| James Ream Whittum | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Paul J Donovan | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Street Address |
375 MAIN ST |
| City | WILLIAMSTOWN |
| State | MA |
| Zip | 01267-2610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel W Smith Jr. | Physician Assistant | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Karl G George | Chiropractic | 375 Main St, Setauket, NY 11733-3832 | |
| James Ream Whittum | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Paul J Donovan | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Brenda K Balthazor | Physician Assistant | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 375 Main St, Birnamwood, WI 54414-9259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah B Edson | Psychologist, Clinical | 1 Bulkley St, Williamstown, MA 01267-2077 | |
| Elizabeth Vail Roberts | Psychologist, Clinical | 681 Simonds Rd, Williamstown, MA 01267-2105 | |
| Anthony J Siracusa | Psychologist, Clinical | 681 Simonds Rd, Williamstown, MA 01267-2105 | |
| Garrett Lechowski | Clinical Social Worker | 311 B Main St, Williamstown, MA 01267-2610 | |
| Lynn M Barry | Physical Therapy | Williamstown Physical Therapy | 212 Main St B, Williamstown, MA 01267-2641 |
| David H Armet | Physical Therapy | Williamstown Physical Therapy | 212 Main St B, Williamstown, MA 01267-2641 |
| Jennifer S Armet | Physical Therapy | Williamstown Physical Therapy | 212 Main St B, Williamstown, MA 01267-2641 |
| Brittney Cappiello | Physical Therapy | Williamstown Physical Therapy | 212 Main St B, Williamstown, MA 01267-2641 |
| Heather Jeanette Burhans | Chiropractic | Williamstown Family Chiropractic LLC | 660 Main St, Williamstown, MA 01267-2642 |
| Erin G Wright | Chiropractic | Williamstown Family Chiropractic LLC | 660 Main St, Williamstown, MA 01267-2642 |
| Find all physicians in zip 01267 | |||
| City | WILLIAMSTOWN |
| Zip Code | 01267 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | WILLIAMSTOWN + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Suk Namkoong.
| 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.