DR. WON B CHAE (NPI# 1831192640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831192640 |
| Entity Type | Individual |
| Full Name | DR. WON B CHAE |
| Credential | MD |
| Practice Address |
29829 Telegraph Rd Ste L103 Southfield MI 48034-1376 |
| Practice Telephone | 2483529525 |
| Practice Fax Number | 2483572959 |
| Mailing Telephone | 2483529525 |
| Mailing Fax Number | 2483572959 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
WC058039 | MI | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
WC058039 | MI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
WC058039 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPI | 1770819864 | 01 |
| MI | 4997089 | 05 | |
| MI | HEALTH PLAN OF MICHIGAN | 18674 | 01 |
| MI | RAILROAD MEDICARE | CD9258 | 01 |
| MI | 3349772 | 05 | |
| MI | CAPE HEALTH | 5101 | 01 |
| MA | GREAT LAKES HEALTH PLAN | 132484 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 700F372090 | 01 |
| MI | MCARE | RA630034 | 01 |
| MI | OMNICARE | 52972 | 01 |
| Street Address |
29829 TELEGRAPH RD STE L103 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922361989 | Olga B Dolgikh | Physician Assistant | 29829 Telegraph Rd, Suite 107, Southfield, MI 48034-1330 | 2012-06-24 |
| 1942459805 | Kidney Specialists of Michigan | Internal Medicine | 29829 Telegraph Rd, Ste 202, Southfield, MI 48034-1330 | 2008-09-16 |
| 1427229368 | Elizabeth Mae Mikulec | Dietitian, Registered | 29829 Telegraph Rd, Suite 100, Southfield, MI 48034-1330 | 2008-03-19 |
| 1316115074 | Wilson Florendo | Technician, Other | 29829 Telegraph Rd, Suite 100, Southfield, MI 48034-1330 | 2008-02-15 |
| 1487841367 | Medical Management Support Services Inc | Radiologic Technologist | 29829 Telegraph Rd, Suite 202, Southfield, MI 48034-1330 | 2007-09-25 |
| 1801087085 | Joseph Ray Nemeth | Dentist | 29829 Telegraph Rd, Ste 111, Southfield, MI 48034-1330 | 2007-08-05 |
| 1013126374 | Laina Feinstein Md PC | Family Medicine | 29829 Telegraph Rd, Suite 107, Southfield, MI 48034-1330 | 2007-05-22 |
| 1912114232 | Lodia A Runco | Occupational Therapist | 29829 Telegraph Rd, Suite 201, Southfield, MI 48034-1330 | 2007-05-17 |
| 1538375985 | Amar Katranji | Dentist | 29829 Telegraph Rd, Ste 111, Southfield, MI 48034-1330 | 2007-05-15 |
| 1023223955 | Herbert Weisenthal, D.o., P.l.l.c. | Radiology | 29829 Telegraph Rd, Suite L-102, Southfield, MI 48034-1330 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1083052377 | Rani Bashiti | Radiology | 16001 W. 9 Mild Rd, Southfield, MI 48075 | 2013-06-07 |
| 1740583145 | Silver Pine Imaging LLC | Radiology | 20475 W 10 Mile Rd, Southfield, MI 48075-6105 | 2010-12-08 |
| 1639497274 | Sentinel Health Staffing LLC | Radiology | 29155 Northwestern Hwy Ste 642, Southfield, MI 48034-1011 | 2010-05-06 |
| 1992866438 | Osteoporosis Testing Centers Inc | Radiology | 26206 W 12 Mile Road, Ste 103, Southfield, MI 48034 | 2006-12-12 |
| 1053428433 | Norberto Andaya Sugayan | Radiology | 5000 Town Ctr, 605, Southfield, MI 48075-1110 | 2006-08-23 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.