| Da Hun Kim, | |
|
7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 | |
| (301) 877-4367 | |
| Not Available |
| Full Name | Da Hun Kim |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 7503 Surratts Rd Ste 208, Clinton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083258610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (Maryland) | Primary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
| Entity Name | Medstar Heart Institute LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528345378 PECOS PAC ID: 5698932960 Enrollment ID: O20120130000515 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Da Hun Kim, 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (352) 361-5116 | Da Hun Kim, 7503 Surratts Rd Ste 208, Clinton, MD 20735-3358 Ph: (301) 877-4367 |
Elizabeth Myers Fisher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Medstar Southern Maryland Hospital Center, 7503 Surratts Road, Clinton, MD 20735 Phone: 301-877-4505 |
Ms. Eline Leonore Mul, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8926 Woodyard Rd Ste 602, Clinton, MD 20735 Phone: 301-868-9414 Fax: 301-868-6055 |
Elizabeth Garcia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10401 Hospital Dr Ste 101, Clinton, MD 20735 Phone: 301-856-2323 |
Norman Russell Stackhouse, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 9131 Piscataway Rd, Suite 600, Clinton, MD 20735 Phone: 301-868-0110 Fax: 301-856-0604 |
Leslie Covington Fincher, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Emergency Dept, Medstar Southern Maryland Hospital, Clinton, MD 20735 Phone: 301-877-4500 |
Kathleen Cheseldine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 855-633-0205 |
Madeleine Corrado, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 410-772-6500 |