| Choong R Kim, MD | |
|
1615 Delaware St, Longview, WA 98632-2310 | |
| (360) 636-4841 | |
| (360) 636-6744 |
| Full Name | Choong R Kim |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 38 Years |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023292950 | NPI | - | NPPES |
| 061288 | Medicaid | OR | |
| 1082841 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD00030605 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 5890689293 | 188 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Choong R Kim, MD 1603 Larch St, Unit 2819, Longview, WA 98632-0825 Ph: (360) 636-4841 | Choong R Kim, MD 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 636-4841 |
Peter Hassrick Goff, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7878 Fax: 360-414-7876 |
Dr. Ryan Russell Strilaeff, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-514-2663 |
Dr. Steven M Urman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1015 Ocean Beach Hwy, #125, Longview, WA 98632 Phone: 360-703-0703 Fax: 360-703-0704 |