KENNETH B GUM


Address: 5199 N Royal Dr, Traverse City, MI 49684-9201
Phone: 2319358101

KENNETH B GUM (NPI# 1093877375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093877375
Entity Type Individual
Full Name KENNETH B GUM
Credential M.D.
Practice Address 5199 N Royal Dr
Traverse City
MI 49684-9201
Practice Telephone 2319358101
Practice Fax Number 2319350955
Mailing Telephone 2319358101
Mailing Fax Number 2319350955
Enumeration Date 2006-12-14
Last Update Date 2012-05-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology KG048932 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 5199 N ROYAL DR
City TRAVERSE CITY
State MI
Zip Code 49684-9201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164971966 Kristen Chippi Optometrist 5199 N Royal Dr, Traverse City, MI 49684-9201 2016-09-22
1265851083 Alicia Morgan Eby Ophthalmology 5199 N Royal Dr, Traverse City, MI 49684-9201 2014-04-09
1093027518 Carl J Erickson Optometrist 5199 N Royal Dr, Traverse City, MI 49684-9201 2010-07-13
1578740668 Justin Tannir Ophthalmology 5199 N Royal Dr, Traverse City, MI 49684-9201 2008-01-30
1316009368 Traverse City Eye Consultants P C Eyewear Supplier (Equipment, not the service) 5199 N Royal Dr, Traverse City, MI 49684-9201 2006-12-15
1891857017 Robert A Foote Optometrist 5199 N Royal Dr, Traverse City, MI 49684-9201 2006-12-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124641758 Karen Anne Paulosky Registered Nurse 226 S Madison St, Traverse City, MI 49684 2020-05-18
1891314795 Jaclyn Elizabeth Sylvain Student in an Organized Health Care Education/Training Program Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 2020-04-10
1285282988 Madelyn Drumm Dietitian, Registered 217 S. Madison St., Suite 3022, Traverse City, MI 49684 2019-08-27
1265917686 Kacie Danielle Heading Social Worker 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 2018-10-02
1881178325 Jacob White Ph.d., Pllc Psychologist 3537 W. Front Street, Suite F, Traverse City, MI 49684 2018-09-20
1144702572 Constance Baab, Phd, Lmsw, Pllc Social Worker 3301 Veterans Drive Suite 127, Traverse City, MI 49684 2018-09-01
1346732880 The Skin Cancer and Dermatology Center Plc Dermatology 1225 W Front St Ste 2, Traverse City, MI 49684 2018-05-31
1790283851 Lisa Louise Kleyps Massage Therapist 3337 W. South Airport Road #2, Traverse City, MI 49684 2018-01-24
1114447646 Brittany Alexandra Prior Physical Therapist 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 2017-06-26
1568902963 Jennifer Scott Behavior Technician 515 W 14th St Unit D, Traverse City, MI 49684 2017-03-03
Find all providers in zip 49684

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568759314 William Phillip Potthoff Jr. Ophthalmology 601 S Garfield Ave Ste A, Traverse City, MI 49686-3481 2011-06-30
1952463143 Amy S Ranger Ophthalmology 4033 Eastern Sky Dr, Traverse City, MI 49684-7349 2006-12-14
1801998182 Northern Vision Eye Care, PC Ophthalmology 4033 Easter Sky Drive, Traverse City, MI 49684 2006-09-05
1699750356 Martin Samuel Arkin Ophthalmology 10161 E Pickwick Ct, Suite C, Traverse City, MI 49684-5239 2005-12-14
1821087560 Peter D Fedor Ophthalmology 872 Munson Ave, Suite B, Traverse City, MI 49686-3638 2005-10-16
1770577637 The Surgery Center Ophthalmology 5080 N Royal Dr, Traverse City, MI 49684-9230 2005-09-07
1598759821 Kenneth H Musson Ophthalmology 929 Business Park Dr, Traverse City, MI 49686-8683 2005-09-01
1851383129 Bradley S Hochstetler Ophthalmology 3830 W Front St, Traverse City, MI 49684-8153 2005-08-22
1780686485 Kean T Oh Ophthalmology 860 East Front Street, Traverse City, MI 49686-2704 2005-08-12
1689675720 Judy C Liu Ophthalmology 860 E Front St, Traverse City, MI 49686-2704 2005-08-10
Find all providers in TRAVERSE CITY

Competitor

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City TRAVERSE CITY
Zip Code 49684

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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