S SAMUEL IM MD PC (NPI# 1528390952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528390952 |
Entity Type | Organization |
Organization Name | S SAMUEL IM MD PC |
Practice Address |
485 E Columbia Ave Suite 11 A Battle Creek MI 49014-5499 |
Practice Telephone | 2699696211 |
Practice Fax Number | 2699696049 |
Mailing Telephone | 2699696211 |
Mailing Fax Number | 2699696049 |
Enumeration Date | 2010-02-10 |
Last Update Date | 2010-02-10 |
Authorized Official Name | MS. SUNGGEUN SAMUEL IM (OWNER) |
Authorized Official Telephone | 2699696211 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 4301031469 | MI | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1077038 | 05 |
Street Address |
485 E COLUMBIA AVE SUITE 11 A |
City | BATTLE CREEK |
State | MI |
Zip Code | 49014-5499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326006784 | Michelle T Valella | Optometrist | 485 E Columbia Ave, Ste 10, Battle Creek, MI 49015 | 2006-05-03 |
1760631162 | Dr Sharon M Dickerson Dds PC | Dentist | 485 E Columbia Ave, Suite 12, Battle Creek, MI 49014-5499 | 2008-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740702315 | Adl Home Care Inc | Home Health | 7175 Tower Rd Suite B, Battle Creek, MI 49014 | 2017-07-14 |
1245606482 | Janet Lee Williams | Licensed Practical Nurse | 118 Taft St., Battle Creek, MI 49014 | 2015-08-11 |
1780072934 | Wattles Park Family Practice II PC | Family Medicine | 1125 E Michigan Avenue, Battle Creek, MI 49014 | 2014-12-22 |
1306193602 | Comforts of Home Counseling & Care Management LLC | Social Worker | 391 S Shore Dr Ste 214, Battle Creek, MI 49014 | 2012-08-07 |
1356607279 | Joseph Anthony Derose | Dentist | 131 North Avenue, Battle Creek, MI 49014 | 2012-04-04 |
1982903696 | Doubleday's Spine & Brain of Southwest Michigan Pllc | Chiropractor | 601 South Shore Drive, Suite 121, Battle Creek, MI 49014 | 2011-03-21 |
1497076228 | Ayn Shipe | Mechanotherapist | 18360 9 1/2 Mile Road, Battle Creek, MI 49014 | 2010-06-16 |
1073777397 | Aaron Matthew Drake | Pharmacist | 1250 East Columbia Avenue, Suite B, Battle Creek, MI 49014 | 2008-07-16 |
1063506558 | Jeromy John Myers | Chiropractor | 1250 E Columbia Ave, Battle Creek, MI 49014 | 2006-10-02 |
1700327194 | Michelle Tanner | Counselor | 155 Garfield Ave, Battle Creek, MI 49014 | 2017-03-17 |
Find all providers in zip 49014 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336550458 | Reginald Leon Howard Sr. | Specialist | 26 Goodale Ave E, Battle Creek, MI 49037-2726 | 2014-05-12 |
1073890588 | Edson Medical Associates LLC | Specialist | 2845 Capital Ave Sw Ste 202, Battle Creek, MI 49015-4186 | 2011-11-11 |
1477516557 | Mehmet Bican Ismailoglu | Specialist | 391 S Shore Dr, Suite 214, Battle Creek, MI 49015-4446 | 2006-04-10 |
1720537590 | Matthew Hart | Specialist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2016-09-22 |
1235584392 | Diane Noble | Specialist | 4770 Beckley Rd, Battle Creek, MI 49015-7932 | 2016-04-26 |
1346663762 | Korey Willi | Specialist | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2014-01-22 |
1427202027 | Neuro-surgical Services PC | Specialist | 363 Fremont St, Ste 100, Battle Creek, MI 49017-3389 | 2008-11-10 |
1871771121 | Punita Sharma | Specialist | 4770 Beckley Rd, Battle Creek, MI 49015-7932 | 2008-02-07 |
1861605040 | Carolyn D. Hoekstra | Specialist | 363 Fremont St, Suite 208, Battle Creek, MI 49017-3389 | 2007-05-07 |
1548389141 | Kidney Health Clinic,pc | Specialist | 220 Goodale Ave E, Suite A, Battle Creek, MI 49017-2728 | 2007-03-28 |
Find all providers in BATTLE CREEK |
City | BATTLE CREEK |
Zip Code | 49014 |
Please comment or provide details below to improve the information on S SAMUEL IM MD PC.
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.