DR. DAVID MING-SHEN PENG (NPI# 1205077138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205077138 |
| Entity Type | Individual |
| Full Name | DR. DAVID MING-SHEN PENG |
| Credential | M.D. |
| Practice Address |
1500 East Medical Center Drive 11th Floor Cs Mott Childrens Hospital Room 661 Ann Arbor MI 48109-5204 |
| Mailing Address |
3621 South State Street 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347645176 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301109363 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
4301109363 | MI | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A119895 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245363902 | David Daixun Peng | Acupuncturist | 9968 Bellaire Blvd, Suite 210b, Houston, TX 77036-3460 | 2007-03-13 |
| 1891881421 | David H Peng | Dermatology | 1450 San Pablo St Ste 2000, Los Angeles, CA 90033-5331 | 2006-10-04 |
| Street Address |
1500 EAST MEDICAL CENTER DRIVE 11TH FLOOR CS MOTT CHILDRENS HOSPITAL ROOM 661 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256912 | Keow Mei Goh | Urology | 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp C, Ann Arbor, MI 48109-5330 | 2005-06-21 |
| 1407479116 | Juan Paulo Noda | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, 2920 Taubman Center, Spc 5331, Ann Arbor, MI 48109-5331 | 2020-05-28 |
| 1619534658 | Matthew Frank Grzywinski | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-24 |
| 1295392439 | Vikas Shahi | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1043877285 | Jia Liu | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1689231821 | Maxwell Donovan Raithel | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1104483346 | William Jeffrey Sturdavant | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1780241927 | Michael Ian Hovenden | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1407413644 | Adam Izzat Kadri | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1760049902 | Natalja Patricia Rosculet | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811250772 | Ian Dykins Thomas | Pediatrics | 1540 E Hospital Dr, Spc 4204, Ann Arbor, MI 48109-4000 | 2012-06-15 |
| 1174842025 | James Paul Reinhart | Pediatrics | 3116 Taubman Center, Spc 5368, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5368 | 2010-05-18 |
| 1609961432 | Donald D Malcolm | Pediatrics | 1500 E Medical Center Drive, 11th Floor Cs Mott Childrens Hospital Room 661, Ann Arbor, MI 48109-9470 | 2006-10-04 |
| 1659305514 | Regents of The University of Michigan | Pediatrics | 1500 East Medical Center Drive, 1st Floor Mott Hospital Recp F, Ann Arbor, MI 48109-5204 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453287 | Pediatric Cardiology of Southeastren Michigan | Pediatrics | 1934 Bluff Ct, Troy, MI 48098-6616 | 2019-05-21 |
| 1417222779 | Sujatha Buddhe | Pediatrics | 2289 Dorchester Dr N Apt 203, Troy, MI 48084-3723 | 2012-03-19 |
| 1316244304 | Rossitza Prokopieva Pironkova | Pediatrics | 43380 Woodward Ave Ste 105, Bloomfield Hills, MI 48302-5050 | 2011-02-28 |
| 1881709871 | Hani Zreik | Pediatrics | 900 Cooper Avenue, Suite 4200, Saginaw, MI 48602-5394 | 2006-08-20 |
| 1326080102 | James Lee Christiansen | Pediatrics | 1414 West Fair Ave, Ste 334, Marquette, MI 49855 | 2006-06-13 |
| 1700826542 | James L Christiansen Md PC | Pediatrics | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-08 |
| 1679511737 | Richard A. Humes | Pediatrics | 3901 Beaubien Blvd -, Childrens Hospital of Michigan 4th Fl, Detroit, MI 48201 | 2006-06-02 |
| 1174560668 | Peter P. Karpawich | Pediatrics | 3901 Beaubien - 4th Fl, Childrens Hospital of Michigan, Detroit, MI 48201 | 2006-06-01 |
| 1013977115 | Elliott Weinhouse | Pediatrics | 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073-6770 | 2006-03-24 |
| 1770551301 | Hanna Michel Khouri | Pediatrics | 43380 Woodward Ave, Ste 105, Bloomfield Hills, MI 48302 | 2006-03-09 |
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| 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.