DR. RYAN JOHAN KIM (NPI# 1881905222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881905222 |
Entity Type | Individual |
Full Name | DR. RYAN JOHAN KIM |
Credential | M.D. |
Practice Address |
4701 Towne Centre Rd Ste 202 Saginaw MI 48604-2800 |
Practice Telephone | 9897902600 |
Mailing Telephone | 9897902600 |
Enumeration Date | 2010-06-30 |
Last Update Date | 2020-09-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 4301096627 | MI | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301096627 | MI | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2015018177 | MO | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1 Hospital Dr, Mchaney Hall 404, Columbia, MO 652121000 | 9893273002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821563370 | Ryan Kim | Nurse Practitioner | 14400 John Humphrey Dr Ste 1e, Orland Park, IL 60462-2897 | 2018-10-11 |
1497384341 | Ryan Sangwoo Kim | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 1.150, Houston, TX 77030 | 2020-04-03 |
1174186530 | Ryan Lewis Kim | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2019-04-20 |
1487156469 | Ryan Kim | Case Manager/Care Coordinator | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2018-03-06 |
1669883898 | Ryan J Kim | Radiology | 22 S Greene St, Department of Radiology, Baltimore, MD 21201-1544 | 2014-05-09 |
1851654826 | Ryan Manjae Kim | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2012-06-24 |
1770739716 | Ryan Kim | Family Medicine | 600 Westage Business Ctr Dr, Fishkill, NY 12524-2281 | 2008-08-11 |
1720104292 | Ryan Kim | Pharmacist | 10230 Artesia Blvd Ste 101, Bellflower, CA 90706-6768 | 2007-03-22 |
Street Address |
4701 TOWNE CENTRE RD STE 202 |
City | SAGINAW |
State | MI |
Zip Code | 48604-2800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407368434 | Richard Russell Korbein | Nurse Practitioner | 4701 Towne Centre Rd Ste 202, Saginaw, MI 48604-2800 | 2017-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659332138 | George A Carty | Surgery | 5455 Hampton Pl, Saginaw, MI 48604-9284 | 2006-04-01 |
1073596037 | Ronald A Bays | Surgery | 4701 Towne Centre Rd, Suite 202, Saginaw, MI 48604-2834 | 2005-11-23 |
1306839451 | Michael W. Sullivan | Surgery | 999 S. Washington Avenue, Suite #2, Saginaw, MI 48601 | 2005-08-24 |
1881039634 | Vascular Surgery Assoc, PC | Surgery | 4700 Mcleod Dr E, Suite A, Saginaw, MI 48604-2826 | 2013-05-07 |
1285905414 | Jeffry L Kashuk Md Pllc | Surgery | 4848 Mcleod Dr E, Saginaw, MI 48604-2839 | 2012-01-19 |
1427336981 | George A Carty Md Pllc | Surgery | 5455 Hampton Pl, Saginaw, MI 48604-9284 | 2011-08-01 |
1649397225 | Mid Michigan Vascular Surgery, P.C. | Surgery | 4701 Towne Centre Rd, Suite 202, Saginaw, MI 48604-2834 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
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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.