DAVID KWON


Address: 2799 W Grand Blvd, K-8 Surgery, Detroit, MI 48202-2608
Phone: 3139169930

DAVID KWON (NPI# 1245449743) 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) 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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX 206725801 05

Other Providers DAVID KWON

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

Office Location

Street Address 2799 W GRAND BLVD
K-8 SURGERY
City DETROIT
State MI
Zip Code 48202-2608

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City DETROIT
Zip Code 48202

Improve Information

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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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