Soyoung Bae (NPI# 1841451085, PAC ID# 1759520976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1841451085 |
| PAC ID by PECOS | 1759520976 |
| Professional Enrollment ID | I20161121000063 |
| Full Name | Soyoung Bae |
| Organization Legal Name | DAVINCII OBSTETRICS AND GYNECOLOGY PLC |
| Address |
1435 E 12 Mile Rd Madison Heights MI 48071-2653 |
| Phone Number | 2485432229 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5991776585 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2485432229 | DAVINCII OBSTETRICS AND GYNECOLOGY PLC |
| Organization Legal Name | DAVINCII OBSTETRICS AND GYNECOLOGY PLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline L Taylor | Obstetrics/gynecology | Davincii Obstetrics and Gynecology Plc | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 |
| Street Address |
1435 E 12 MILE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip | 48071-2653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline L Taylor | Obstetrics/gynecology | Davincii Obstetrics and Gynecology Plc | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Altenburg | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Maria Schaefer | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Brittni N Cruse | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Brian A Jones | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Steven J Rabaut | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| William Bradley Bean | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
| Pamela Obare | Nurse Practitioner | City Medical PC | 30581 Stephenson Hwy, Madison Heights, MI 48071-1610 |
| Thomas John Petrou | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Alexander K Grossi | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Christopher E Wicks | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
| Find all physicians in zip 48071 | |||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MADISON HEIGHTS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Soyoung Bae.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.