DR. HAN-SOO BAE (NPI# 1316998792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316998792 |
| Entity Type | Individual |
| Full Name | DR. HAN-SOO BAE |
| Credential | M.D. |
| Practice Address |
321 Stewart Rd Monroe MI 48162-4393 |
| Practice Telephone | 7342435020 |
| Practice Fax Number | 7344571970 |
| Mailing Telephone | 7342435020 |
| Mailing Fax Number | 7344571970 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301075954 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PECOS | N84640002 | 01 | |
| MI | BLUE SHIELD | 0405810152 | 01 |
| MI | 4568755 | 05 |
| Street Address |
321 STEWART RD |
| City | MONROE |
| State | MI |
| Zip Code | 48162-4393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821439779 | Adam Michael Maciver | Nurse Practitioner | 321 Stewart Rd, Monroe, MI 48162-4393 | 2013-07-08 |
| 1942514310 | Ryan Meredith, Au.d., P.C. | Audiologist | 321 Stewart Rd, Monroe, MI 48162-4393 | 2010-07-28 |
| 1447350780 | Andrew Nicholas Karpenko | Otolaryngology | 321 Stewart Rd, Monroe, MI 48162 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568637940 | Thomas H Fields Jr Md LLC | Otolaryngology | 405 Roselawn Ave, Monroe, LA 71201-5345 | 2008-04-25 |
| 1396815429 | Doctors Hearing Center LLC Xxxiii | Otolaryngology | 405 Roselawn Avenue, Monroe, LA 71201 | 2006-11-08 |
| 1750793378 | Affinity Health Group, LLC | Otolaryngology | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2014-06-02 |
| 1740530427 | Ent Associates of Northeast Louisiana, LLC | Otolaryngology | 2802 Kilpatrick Blvd, Monroe, LA 71201-5139 | 2012-09-11 |
| 1508185075 | Ross Adam Udoff | Otolaryngology | 1632 E Roosevelt Blvd, Monroe, NC 28112-4017 | 2010-05-24 |
| 1528386448 | Lee A Miller Md Apmc | Otolaryngology | 312 Grammont Street, Suite 303, Monroe, LA 71201-7403 | 2010-05-17 |
| 1972777860 | Opeyemi Olatoye Daramola | Otolaryngology | 855 State Route 17m, Monroe, NY 10950-1600 | 2008-04-22 |
| 1447445036 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 1632 E Roosevelt Blvd, Monroe, NC 28112-4017 | 2007-09-07 |
| 1992844435 | Henry Govan Taliaferro | Otolaryngology | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2007-02-05 |
| 1730273566 | Anthony R. Rogerson | Otolaryngology | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-10-03 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on DR. HAN-SOO BAE.
| 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.