MOON-CHUL KIM


Address: 1764 Stonebridge Dr S, Ann Arbor, MI 48108-8569
Phone: 7346230238

MOON-CHUL KIM (NPI# 1962583112) 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) 1962583112
Entity Type Individual
Full Name MOON-CHUL KIM
Credential MD
Practice Address 1764 Stonebridge Dr S
Ann Arbor
MI 48108-8569
Practice Telephone 7346230238
Mailing Telephone 7346230238
Enumeration Date 2006-10-17
Last Update Date 2015-05-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085P0229X Radiology
Specialization: Pediatric Radiology
4301079022 MI Allopathic & Osteopathic Physicians
Y 208D00000X General Practice 4301079022 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4347075 05

Office Location

Street Address 1764 STONEBRIDGE DR S
City ANN ARBOR
State MI
Zip Code 48108-8569

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NPI Name Taxonomy Address Enumeration
1750999249 Creating Brighter Futures Behavioral Analyst 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 2020-07-21
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1407326077 Alexis Ewald Behavior Technician 2770 Carpenter Rd., Ann Arbor, MI 48108 2018-11-27
1003308511 Ann Arbor Dental Specialists Dentist 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 2018-05-31
1144719295 Jonathan Parker Etter Physical Medicine & Rehabilitation 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 2018-05-04
1427555895 Blossom Health Services LLC Social Worker 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 2018-04-11
1669974580 Camron Anthony Moorehead Occupational Therapist 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 2018-03-07
1396247862 Crystal Ann D'agostino Health Educator 1169 Oak Valley Drive, Ann Arbor, MI 48108 2018-03-01
1538671250 Miea Moon Psychologist 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 2017-11-03
1003355546 Rachael Connolly Behavior Technician 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 2017-02-16
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336602812 Mk Certified, LLC General Practice 2140 Stone Rd, Ann Arbor, MI 48105-2535 2019-04-10
1124485628 Workit Health General Practice 3300 Washtenaw Ave Ste 280, Ann Arbor, MI 48104-5184 2016-01-28
1427476431 Health Heroes of Michigan Inc General Practice 2723 S State St Ste 150147, Ann Arbor, MI 48104-6188 2014-04-07
1538401989 Tans Medical Service P C General Practice 3120 Kilburn Park Cir, Ann Arbor, MI 48105-4119 2013-03-25
1972869493 Reuel Shannon Long General Practice 6363 Jennings Rd, Ann Arbor, MI 48105-9642 2012-04-10
1548547243 Adolfo Cotter General Practice 330 E Liberty St Lowr Level, Ann Arbor, MI 48104-2274 2011-11-08
1003194309 James Anthony Pierre Jr. General Practice 636 Waymarket Dr, Ann Arbor, MI 48103-6441 2011-08-03
1427388503 M Schmit General Practice 3205 Sunnywood Dr, Ann Arbor, MI 48103-2059 2010-01-12
1477794238 Nestor Aldo Kleer General Practice 4118 Timber Ridge Dr, Ann Arbor, MI 48108-2796 2009-03-09
1588852032 John Wright General Practice 4841 Sawgrass Dr W, Ann Arbor, MI 48108-8613 2007-10-10
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Competitor

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City ANN ARBOR
Zip Code 48108

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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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