DAVID KWON (NPI# 1245449743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245449743 |
Entity Type | Individual |
Full Name | DAVID KWON |
Credential | MD |
Practice Address |
2799 W Grand Blvd K-8 Surgery Detroit MI 48202-2608 |
Practice Telephone | 3139169930 |
Mailing Telephone | 3139169930 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2013-01-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | N2610 | TX | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 4301082482 | MI | Allopathic & Osteopathic Physicians |
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
055750 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 206725801 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518136134 | David S. Kwon | Internal Medicine | 4067 S Four Mile Run Dr, #403, Arlington, VA 22204-5611 | 2008-02-27 |
1841482080 | David Kwon | Dentist | 68-1845 Waikoloa Rd Ste 205, Waikoloa, HI 96738-5579 | 2007-08-13 |
1750395315 | David Hyuk Kwon | Dentist | 2770 E Wt Harris Blvd Ste 102, Charlotte, NC 28213-4072 | 2006-07-28 |
1346285525 | David Hongseok Kwon | Dentist | 618th Dental Company(as), Usa Dentac-korea, Unit #15652, Apo, AP 96205-5652 | 2006-06-19 |
1780145524 | David Kwon | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2019-03-26 |
1922425297 | David Kwon | Hospitalist | 235 W 6th St, Reno, NV 89503-4548 | 2014-03-25 |
1740577055 | David Kwon | Nurse Practitioner | 4500 Euclid Ave, Cleveland, OH 44103-3736 | 2011-07-07 |
1043526338 | David Kwon | Physical Therapist | 15 Bloomfield Ave, Lower Level, Montclair, NJ 07042-4888 | 2010-08-24 |
1609008804 | David Monsoo Alexander Kwon | Family Medicine | 675 W Washington Ave, Madison, WI 53703-2637 | 2009-08-20 |
1245388271 | David Sung Kwon | Emergency Medicine | 111 N Sepulveda Blvd, #210, Manhattan Beach, CA 90266-6861 | 2007-01-08 |
Street Address |
2799 W GRAND BLVD K-8 SURGERY |
City | DETROIT |
State | MI |
Zip Code | 48202-2608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
Find all providers in zip 48202 |
Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831105550 | John Maclin Barnwell Sr. | Surgery | 18709 Meyers Rd., Detroit, MI 48235 | 2006-08-01 |
1336154772 | John M Barnwell Md Pllc | Surgery | 18709 Meyers Rd, Detroit, MI 48235-1310 | 2006-07-31 |
1679705339 | Rupen Ashok Kumar Shah | Surgery | 2799 W Grand Blvd, General Surgery K-8, Detroit, MI 48202-2608 | 2009-08-13 |
1356441646 | Steve Ho-suk Kim | Surgery | 4100 John R St, Detroit, MI 48201-2013 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295970598 | Susan Marguerite Sharpe | Surgery | 2122 Health Dr Sw Ste 160a, Wyoming, MI 49519-9698 | 2008-12-16 |
1295871184 | Dr Sukamal Saha Md PC | Surgery | 3500 Calkins Rd, Suite A, Flint, MI 48532-3506 | 2007-01-29 |
1558307926 | E Michael Lodish Do PC | Surgery | 3272 E 12 Mile Rd, Ste 102, Warren, MI 48092-5622 | 2006-06-22 |
1427056175 | Sukamal Saha | Surgery | 3500 Calkins Road, Suite A, Flint, MI 48532-3685 | 2005-07-07 |
1417510116 | Yasser All Haji | Surgery | 11800 E 12 Mile Rd, Warren, MI 48093 | 2019-04-17 |
1811434772 | W.a. Foote Memorial Hospital, Inc | Surgery | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
1992007660 | Spectrum Health Hospitals | Surgery | 145 Michigan St Ne, Grand Rapids, MI 49503-2562 | 2010-12-01 |
1356572135 | Douglas M Iddings PC | Surgery | 302 Kensington Ave, Flint, MI 48503-2044 | 2009-07-28 |
1164663829 | Gitonga Munene | Surgery | 200 N Park St, Kalamazoo, MI 49007-3731 | 2009-03-10 |
1124290341 | Michigan Medical Patient Care | Surgery | 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 | 2008-03-27 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DAVID KWON.
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.