DR. IL-SUNG KWAK (NPI# 1497788848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497788848 |
| Entity Type | Individual |
| Full Name | DR. IL-SUNG KWAK |
| Credential | M.D. |
| Practice Address |
2222 Timberbrook Trl Fort Wayne IN 46845-9530 |
| Practice Telephone | 2606373939 |
| Mailing Telephone | 2606373939 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 0102632A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
2222 TIMBERBROOK TRL |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-9530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134318447 | Il S Kwak Md Inc | Specialist | 2222 Timberbrook Trl, Fort Wayne, IN 46845-9530 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265858765 | James Edward Luckey | Anesthesiology | 4701 Covington Rd, Suite 18, Fort Wayne, IN 46804-5072 | 2014-03-09 |
| 1811324411 | Willliam Richard Hall | Anesthesiology | 8721 Fortuna Way, Fort Wayne, IN 46815-5724 | 2013-09-27 |
| 1760542468 | Three Rivers Anesthesia, LLC | Anesthesiology | 7956 W. Jefferson Blvd., Fort Wayne, IN 46804 | 2006-12-11 |
| 1588746838 | Andrea Waingold | Anesthesiology | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | 2006-10-19 |
| 1487755534 | Kathryn Carboneau | Anesthesiology | 11115 Pine Bank Ct, Fort Wayne, IN 46845-1839 | 2006-09-25 |
| 1760427686 | Andrzej S. Waskiel | Anesthesiology | 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825-1912 | 2006-06-17 |
| 1992745806 | Muhammod Ahmad | Anesthesiology | 1942 E Dupont Rd Ste A, Fort Wayne, IN 46825-1582 | 2006-06-08 |
| 1346212487 | Glenn Batiller | Anesthesiology | 11518 Tillbury Cv, Fort Wayne, IN 46845-2138 | 2006-02-03 |
| 1457336539 | Jun Wang | Anesthesiology | 10351 Dawsons Creek Blvd, Ste D, Fort Wayne, IN 46825-1904 | 2005-12-12 |
| 1457359598 | Susan A Nasri | Anesthesiology | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2005-07-12 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.