SEONG CHEOL KIM (NPI# 1457351702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457351702 |
| Entity Type | Individual |
| Full Name | SEONG CHEOL KIM |
| Credential | MD, MPM |
| Practice Address |
68934 Vinewood Ave Sturgis MI 49091-8899 |
| Practice Telephone | 2696511411 |
| Practice Fax Number | 2696511411 |
| Mailing Telephone | 2696511411 |
| Mailing Fax Number | 2696511411 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
039276 | MI | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
039276 | MI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | SK039276 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4542300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063841864 | Seong Hee Kim | Registered Nurse | 4200 De Haven Dr, Chantilly, VA 20151-2810 | 2013-11-02 |
| 1528129350 | Seong Ja Kim | Pediatrics | 438 56th Street, Brooklyn, NY 11220-3409 | 2006-12-13 |
| 1316987605 | Seong Il Kim | Internal Medicine | 1245 Wilshire Blvd Ste 303, Los Angeles, CA 90017 | 2006-06-07 |
| 1023569621 | Seong Kim | Physician Assistant | 7650 E Parham Rd, Suite 220, Henrico, VA 23294-4373 | 2016-10-18 |
| 1669850491 | Seong Eun Kim | Occupational Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2015-05-13 |
| 1205187119 | Seong Kim | Technician, Health Information | 1153 Oak St, San Francisco, CA 94117-2216 | 2012-10-02 |
| 1962753178 | Seong Sook Kim | Pharmacist | 51 Mdg, Unit 2060, Apo, AP 96278 | 2012-09-27 |
| 1730487075 | Seong G Kim | Pharmacist | 842 S 5th Ave, Denton, MD 21629-1398 | 2011-03-10 |
| 1710296660 | Seong Kim | Dentist | 307 W Main St, Battle Ground, WA 98604-4411 | 2010-09-27 |
| 1730209818 | Seong Jun Kim | Chiropractor | 32901 Hayes Rd, Warren, MI 48088-7368 | 2007-03-30 |
| Street Address |
68934 VINEWOOD AVE |
| City | STURGIS |
| State | MI |
| Zip Code | 49091-8899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558329 | Reflections of Thurston Woods | Custodial Care Facility | 1946 S. Thurston Woods Drive, Sturgis, MI 49091 | 2016-10-10 |
| 1124258793 | Joan M Fox | Physical Therapist | 1717 E Chicago Road, Sturgis Hospital, Sturgis, MI 49091 | 2009-07-17 |
| 1538336110 | Dr R L Chorpenning | Chiropractor | 104 W Congress, Sturgis, MI 49091 | 2008-05-13 |
| 1710176151 | Guardiantrac LLC | In Home Supportive Care | 215 Broadus St, Sturgis, MI 49091 | 2007-10-22 |
| 1134320302 | Kelly Marie Amrein | Pharmacist | 1533 E Chicago Rd., Sturgis, MI 49091 | 2007-05-29 |
| 1417079633 | Mark Donald Henson Bohlen | Social Worker | 401 S Fourth Street, Sturgis, MI 49091 | 2007-04-06 |
| 1609995349 | Michael A Fine | Physical Therapist | 70420 S. Centerville Road, Suite C, Sturgis, MI 49091 | 2007-03-27 |
| 1437203973 | Robert J Mahoney | Counselor | 70050 M 66, Sturgis, MI 49091 | 2007-01-22 |
| 1740341411 | Sturgis Surgicare | Clinic/Center | 102 S Lakeview Avenue, Sturgis, MI 49091 | 2006-12-13 |
| 1225196355 | James Hunter Raiford | Counselor | 103 S 4th Ave, Sturgis, MI 49091 | 2006-12-04 |
| Find all providers in zip 49091 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106622 | Vincente D. Cabansag Jr. | General Practice | 68930 Vinewood Ave, Sturgis, MI 49091-8899 | 2005-07-07 |
| 1346577988 | Sturgis Hospital, Inc. | General Practice | 1717 E Chicago Rd, Suite 2, Sturgis, MI 49091-8524 | 2009-11-03 |
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| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
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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.