Stephen Joowhan Kim, MD | |
620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 | |
(574) 258-1100 | |
(574) 258-1101 |
Full Name | Stephen Joowhan Kim |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 17 Years |
Location | 620 W Edison Rd, Mishawaka, Indiana |
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 |
---|---|---|---|
1992967293 | NPI | - | NPPES |
01066145A | Other | IN | IN LICENSE |
20139730 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01066145A (Indiana) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 01066145A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
Ascension Sacred Heart Gulf | Port saint joe, FL | Hospital |
Sacred Heart Hospital | Pensacola, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Destin Regional Imaging Center Llc | 8921050782 | 3 |
Entity Name | Destin Regional Imaging Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134116726 PECOS PAC ID: 8921050782 Enrollment ID: O20050221000276 |
Mailing Address | Practice Location Address |
---|---|
Stephen Joowhan Kim, MD 620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 Ph: (574) 258-1100 | Stephen Joowhan Kim, MD 620 W Edison Rd, Ste 110, Mishawaka, IN 46545-2784 Ph: (574) 258-1100 |
Samir B Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
James C Field, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 547-258-1100 Fax: 574-258-1101 | |
Mark J Ormson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
John C Hill, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
Mary C Dynes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
Francoise M Dion, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 | |
Christine Marsch O'malley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 W Edison Rd, Suite 110, Mishawaka, IN 46545 Phone: 574-258-1100 Fax: 574-258-1101 |