KWONSOO KENNETH KIM (NPI# 1043633191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043633191 |
| Entity Type | Individual |
| Full Name | KWONSOO KENNETH KIM |
| Credential | M.D. |
| Practice Address |
8854 Stoney Creek Dr. South Lyon MI 48178 |
| Practice Telephone | 2484860586 |
| Mailing Telephone | 2484860586 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 4301034988 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
8854 STONEY CREEK DR. |
| City | SOUTH LYON |
| State | MI |
| Zip Code | 48178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231815 | Bhoomi Shah | Pharmacist | 22318 Pontiac Trail, South Lyon, MI 48178 | 2020-06-27 |
| 1649811845 | Center for Emdr and Trauma Therapy | Counselor | 28900 Pontiac Trail, South Lyon, MI 48178 | 2019-09-30 |
| 1295223386 | Cathrine Michelle Arneson | Massage Therapist | 321 Pettibone St. #101a, South Lyon, MI 48178 | 2018-04-25 |
| 1033592936 | 4-serv Family Medicine P.C. | Family Medicine | 51619 Ten Mile Rd, South Lyon, MI 48178 | 2015-07-09 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1255722088 | Jennifer Nidetz | Social Worker | 23015 Cheyenne Dr, South Lyon, MI 48178 | 2015-02-16 |
| 1174938658 | Michael Samir Matar | Family Medicine | 210 N Lafayette Street, South Lyon, MI 48178 | 2014-06-24 |
| 1285071860 | Ajanthan Sivagurunathan | Student in an Organized Health Care Education/Training Program | 210 North Lafayette, Providence Medical Center - South Lyon, South Lyon, MI 48178 | 2013-05-23 |
| 1184890055 | Yvonne Marie Snyder | Dentist | 100 E Lake St, South Lyon, MI 48178 | 2008-05-01 |
| 1770757700 | Paul L Simon | Dentist | 21800 Pontiac Trail Ste 100, South Lyon, MI 48178 | 2008-04-22 |
| Find all providers in zip 48178 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940670 | Paragon Anesthesia Pllc | Anesthesiology | 1144 Brookwood St, Birmingham, MI 48009-1010 | 2020-10-19 |
| 1790318475 | Kalamazoo Endo Center LLC | Anesthesiology | 3300 Cooley Ct, Portage, MI 49024-7430 | 2020-02-20 |
| 1497394712 | Universal Anesthesia Services Pllc | Anesthesiology | 2700 S Rochester Rd Ste B, Rochester Hills, MI 48307-4547 | 2020-01-03 |
| 1023659802 | Edward W Sparrow Hospital Association | Anesthesiology | 1200 E Michigan Ave Ste 101, Lansing, MI 48912-1800 | 2019-10-03 |
| 1174039184 | Zaki Anesthesia Pllc | Anesthesiology | 350 N Main St Unit 818, Royal Oak, MI 48067-4126 | 2017-12-28 |
| 1508378027 | Anesthesia Associates of Grand Rapids, Pllc | Anesthesiology | 200 Jefferson Ave., Se, Grand Rapids, MI 49503 | 2017-10-25 |
| 1396292322 | American Medical Center Group Pllc | Anesthesiology | 20905 Greenfield Rd Ste 603m, Southfield, MI 48075-5355 | 2016-09-07 |
| 1033562889 | Meagan Mcdavid | Anesthesiology | 4201 Saint Antoine St Dept Of, Detroit, MI 48201-2153 | 2016-07-18 |
| 1316303589 | Elite Anesthesia Services, Pllc | Anesthesiology | 8765 Clark Rd, Grand Ledge, MI 48837-9283 | 2016-01-04 |
| 1689051989 | Heriberto Juarez | Anesthesiology | 1848 E Sherman Blvd Ste Y, Muskegon, MI 49444-1963 | 2015-05-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LYON |
| Zip Code | 48178 |
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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.