WOOK KIM MD PC (NPI# 1134459969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134459969 |
| Entity Type | Organization |
| Organization Name | WOOK KIM MD PC |
| Other Organization Name | FARMBROOK INTERVENTIONAL PAIN AND EMG |
| Practice Address |
29877 Telegraph Rd Suite 401 Southfield MI 48034-7661 |
| Practice Telephone | 2486518344 |
| Practice Fax Number | 2486518024 |
| Mailing Telephone | 2486518344 |
| Mailing Fax Number | 2486518024 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | SIMRAT DHILLON (OFFICE MANAGER) |
| Authorized Official Telephone | 2486518344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 4301099580 | MI | Suppliers |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
5315052216 | MI | Suppliers |
| Y | 174400000X | Specialist | 036156 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3079621 | 05 | |
| MI | STATE LICENSE | 036156 | 01 |
| Other Name | Type Code |
|---|---|
| Farmbrook Interventional Pain and EMG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919379 | Wook Kim Md PC | Specialist | 29877 Telegraph Rd, Ste 401, Southfield, MI 48034-1332 | 2017-01-20 |
| Street Address |
29877 TELEGRAPH RD SUITE 401 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-7661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078587 | Walter J Cukrowski | Ophthalmology | 29877 Telegraph Rd, Suite 100, Southfield, MI 48034-1332 | 2005-10-24 |
| 1710547823 | Christina Akaraz | Nurse Practitioner | 29877 Telegraph Rd, Southfield, MI 48034-1332 | 2019-06-20 |
| 1669919379 | Wook Kim Md PC | Specialist | 29877 Telegraph Rd, Ste 401, Southfield, MI 48034-1332 | 2017-01-20 |
| 1538544218 | Jacqueline Elizabeth Smith | Nurse Practitioner | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 | 2015-07-23 |
| 1356779391 | Michigan Premier Geriatrics Pllc | Internal Medicine | 29877 Telegraph Rd, Suite 200, Southfield, MI 48034-7659 | 2013-10-30 |
| 1417384199 | Farmbrook Family Practice Pllc | Health Maintenance Organization | 29877 Telegraph Rd, Suite 302, Southfield, MI 48034-1332 | 2013-09-26 |
| 1063735058 | Hassan Amirikia Md PC | Obstetrics & Gynecology | 29877 Telegraph Rd, Suite 302, Southfield, MI 48034-1332 | 2010-03-05 |
| 1093045791 | Care Continuum Counseling Services | Counselor | 29877 Telegraph Rd, Suite 401, Southfield, MI 48034-1332 | 2010-01-04 |
| 1053640557 | Plastic Surgery of Michigan | Plastic Surgery | 29877 Telegraph Rd, Suite 107, Southfield, MI 48034-1332 | 2009-12-11 |
| 1306078415 | John H. Finley D.o. & Assoc P.C. | Surgery | 29877 Telegraph Rd, Suite 304, Southfield, MI 48034-1332 | 2009-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1376929562 | Michigan Home Physician Service, Pllc | Specialist | 26645 W 12 Mile Road, Suite 109, Southfield, MI 48034-7811 | 2015-08-11 |
| 1366831273 | Destiny Peterson | Specialist | 21415 Civic Center Dr Ste 209, Southfield, MI 48076-3943 | 2015-01-15 |
| 1831517036 | Naomi Darden | Specialist | 25711 Southfield Rd, 206, Southfield, MI 48075-1875 | 2014-04-03 |
| 1295039899 | Wellness Center of Michigan LLC | Specialist | 17336 W 12 Mile Rd Ste 102, Southfield, MI 48076-2113 | 2010-12-23 |
| 1710155627 | Milton Foss Simmons | Specialist | 18658 George Washington Dr, Southfield, MI 48075-2552 | 2008-02-13 |
| 1770632945 | Flora Ann Dean | Specialist | 17330 Northland Park Court, Suite 201, Southfield, MI 48075-4318 | 2007-01-09 |
| 1245324789 | Cristina Torres | Specialist | 24500 Northwestern Highway, Southfield, MI 48075 | 2006-10-02 |
| 1689766065 | Dawit Teklehaimanot | Specialist | Physical Medicine and Rehabilation and Pain Consultant, 17117 West Nine Mile Road Suite 1331, Southfield, MI 48075 | 2006-09-29 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on WOOK KIM MD PC.
| 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.