DR. KWAN WOO NAM (NPI# 1669574844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669574844 |
| Entity Type | Individual |
| Full Name | DR. KWAN WOO NAM |
| Credential | M.D. |
| Practice Address |
12301 Snow Rd Parma OH 44130-1002 |
| Mailing Address |
1001 Lakeside Ave E #1200 Cleveland OH 44114-1158 |
| Practice Telephone | 2166215600 |
| Practice Fax Number | 2164795554 |
| Mailing Telephone | 2164795541 |
| Mailing Fax Number | 2164795554 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35-043667 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0520458 | 05 |
| Street Address |
12301 SNOW RD |
| City | PARMA |
| State | OH |
| Zip Code | 44130-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305781 | Thomas E Rench | Emergency Medicine | 12301 Snow Rd, Parma, OH 44130-1002 | 2005-06-09 |
| 1417423625 | Jessica Jo Kurtz | Nurse Practitioner | 12301 Snow Rd, Parma, OH 44130-1002 | 2018-10-16 |
| 1427538081 | Brittany Elyse Kohn | Physical Medicine & Rehabilitation | 12301 Snow Rd, Parma, OH 44130-1002 | 2018-08-14 |
| 1275031924 | Tina Kenney | Counselor | 12301 Snow Rd, Parma, OH 44130-1002 | 2018-01-29 |
| 1669991725 | Sarah Elizabeth Benuska | Psychologist | 12301 Snow Rd, Parma, OH 44130-1002 | 2017-09-10 |
| 1255787867 | Metrohealth System | Clinic/Center | 12301 Snow Rd, Metrohealth System Parma Ambulatory Surgical Center, Parma, OH 44130-1002 | 2016-05-12 |
| 1053772715 | Metrohealth System | Pharmacy | 12301 Snow Rd, Parma, OH 44130-1002 | 2016-03-09 |
| 1215349634 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 12301 Snow Rd, Parma, OH 44130-1002 | 2014-05-21 |
| 1003242850 | Healthspan Integrated Care | Clinic/Center | 12301 Snow Rd, Parma, OH 44130-1002 | 2013-09-24 |
| 1992130512 | Healthspan Integrated Care | Clinical Medical Laboratory | 12301 Snow Rd, Parma, OH 44130-1002 | 2013-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104269760 | Thanuja Jeyakumar | Radiology | 5686 Broadview Rd, Apt 2507, Parma, OH 44134-1655 | 2013-04-14 |
| 1326374729 | Advantage Imaging, LLC | Radiology | 6900 Ridge Rd @ Delivery Drive, Suite 101, Parma, OH 44129-5650 | 2009-10-20 |
| 1770652497 | Rauf Yagan | Radiology | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-11-07 |
| 1699869867 | James R. Tagliabue | Radiology | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-10-03 |
| 1457451825 | Henry George Adams | Radiology | 12301 Snow Road, Parma, OH 44130 | 2006-09-25 |
| 1801996277 | David Ellis Radebaugh | Radiology | 12301 Snow Road, Parma, OH 44130 | 2006-09-25 |
| 1740382720 | Georgenna Riley | Radiology | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-09-01 |
| 1154438950 | Antonino Orazio Motta | Radiology | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645813 | Lumina Imaging | Radiology | 8401 Mentor Ave Ste B, Mentor, OH 44060-5843 | 2020-10-07 |
| 1700490943 | Katrina Overbey | Radiology | 4604 Northridge Dr, Batavia, OH 45103-1329 | 2020-09-04 |
| 1235752981 | Infinity Teleradiology LLC | Radiology | 17365 Lookout Dr, Chagrin Falls, OH 44023-2135 | 2020-05-28 |
| 1811481120 | Northern Ohio Medical Specialists LLC | Radiology | 2800 Hayes Ave Bldg C130, Sandusky, OH 44870-7248 | 2018-06-20 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1356756159 | Jerald Eckman | Radiology | 8645 Mallard Cir, Plain City, OH 43064-6004 | 2014-07-01 |
| 1770995854 | Proscan Womens Imaging At Redbank LLC | Radiology | 11594 Springfield Pike, Suite 26, Cincinnati, OH 45246-3527 | 2014-05-23 |
| 1104248467 | Mobile X Ray Express, LLC | Radiology | 1020 Township Road 145, Ironton, OH 45638-8593 | 2014-01-06 |
| 1356762074 | Edwin Robert Payne | Radiology | 465 Overlook Dr Ne, Lancaster, OH 43130-1918 | 2013-12-23 |
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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.