ELENA HN KWON (NPI# 1366563249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366563249 |
| Entity Type | Individual |
| Full Name | ELENA HN KWON |
| Other Name | ELENA H JEHAN-ABDUL |
| Credential | D.O. |
| Practice Address |
17197 N Laurel Park Dr Ste 107 Livonia MI 48152-7910 |
| Mailing Address |
267 Harrington Dr Troy MI 48098-3027 |
| Practice Telephone | 7343388300 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101017122 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27351 Dequindre Rd, Madison Heights, MI 480713487 | 2489677795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497930614 | Elena N. Kwon | Pediatrics | 26001 76th Avenue, New Hyde Park, NY 11040-1433 | 2008-01-07 |
| Street Address |
17197 N LAUREL PARK DR STE 107 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-7910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851868228 | Goran Crnomarkovic | Physician Assistant | 17197 N Laurel Park Dr Ste 107, Livonia, MI 48152-7910 | 2018-10-24 |
| 1417316852 | Tejalben H Bakhtiani | Nurse Practitioner | 17197 N Laurel Park Dr Ste 107, Livonia, MI 48152-7910 | 2016-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689907206 | Nicholas Branscomb | Emergency Medicine | 36475 Five Mile Road, Livonia, MI 48154-1971 | 2009-09-14 |
| 1255568259 | Paul Robert Pomeroy Jr. | Emergency Medicine | 34069 Hathaway St, Livonia, MI 48150-5603 | 2009-06-17 |
| 1083707004 | Glenn F Tokarski | Emergency Medicine | 36475 5 Mile Rd., Medical Staff Office, Livonia, MI 48154 | 2006-10-02 |
| 1265525281 | Stephen D Chabala | Emergency Medicine | 36475 Five Mile Rd., Medical Staff Office, Livonia, MI 48154 | 2006-10-02 |
| 1790763878 | Ernest John Sorini | Emergency Medicine | 38935 Ann Arbor Road, Livonia, MI 48150-3397 | 2006-01-09 |
| 1366801706 | Honesty Lee | Emergency Medicine | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2016-02-13 |
| 1386030930 | Michael Eric Degryse | Emergency Medicine | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2015-04-10 |
| 1922494905 | Jesse Tran | Emergency Medicine | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2015-04-07 |
| 1508258468 | Tuvia Joffe | Emergency Medicine | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2015-03-02 |
| 1881007292 | Carrie Lauren Carozza | Emergency Medicine | 36475 5 Mile Rd, Livonia, MI 48154 | 2014-06-04 |
| Find all providers in LIVONIA | ||||
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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.