Samuel Kim, | |
2415 E Camelback Rd Ste 700, Phoenix, AZ 85016-4245 | |
(424) 443-4749 | |
Not Available |
Full Name | Samuel Kim |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 27 Years |
Location | 2415 E Camelback Rd Ste 700, Phoenix, Arizona |
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 |
---|---|---|---|
1215917091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 246540 (New York) | Secondary |
207T00000X | Neurological Surgery | 60680 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Flagstaff Medical Center | Flagstaff, AZ | Hospital |
Abrazo West Campus | Goodyear, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Arizona Healthcare Corporation | 3577473362 | 352 |
Entity Name | Vhs Outpatient Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912979964 PECOS PAC ID: 4486566726 Enrollment ID: O20031104000523 |
Entity Name | Northern Arizona Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Samuel Kim, 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016-4245 Ph: () - | Samuel Kim, 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016-4245 Ph: (424) 443-4749 |
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