Jung Whan Kim
PROVIDENCE PARK ANESTHESIA ASSOCIATES, PC


Address: 47601 Grand River Ave, Novi, MI 48374-1233
Phone: 2484654100

Jung Whan Kim (NPI# 1356377329, PAC ID# 9638067796) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1356377329
PAC ID by PECOS 9638067796
Professional Enrollment ID I20040429000068
Full Name Jung Whan Kim
Organization Legal Name PROVIDENCE PARK ANESTHESIA ASSOCIATES, PC
Address 47601 Grand River Ave
Novi
MI 48374-1233
Phone Number 2484654100
Gender M
Credential MD
Graduation Year 1969
Primary Specialty ANESTHESIOLOGY
Secondary Specialties INTERVENTIONAL PAIN MANAGEMENT
Group Practice PAC ID 7315009479
Number of Group Practice Members 33
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230019 PROVIDENCE - PROVIDENCE PARK HOSPITAL

Other Locations

Address Phone Organization
47601 Grand River Ave, Novi, MI 48374-1233 2484654100 PROVIDENCE PARK ANESTHESIA ASSOCIATES, PC

Organization Information

Organization Legal Name PROVIDENCE PARK ANESTHESIA ASSOCIATES, PC
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Jasmeet K Easwar Anesthesiology Providence Park Anesthesia Associates, PC 47601 Grand River Ave, Novi, MI 48374-1233
Amanda Marie Bunnell Anesthesiology Providence Park Anesthesia Associates, PC 47601 Grand River Ave, Novi, MI 48374-1233
Emily E Naoum Anesthesiology Providence Park Anesthesia Associates, PC 47601 Grand River Ave, Novi, MI 48374-1233
James A Livermore Anesthesiology Providence Park Anesthesia Associates, PC 47601 Grand River Ave, Novi, MI 48374-1233

Office Location

Street Address 47601 GRAND RIVER AVE
City NOVI
State MI
Zip 48374-1233

Physicians in the same location

Name Specialty Organization Address
John J Fath General Surgery Acute Care Surgeons PC 47601 Grand River Ave, Novi, MI 48374-1233
Alberto J Aviles Plastic and Reconstructive Surgery 47601 Grand River Ave, B223, Novi, MI 48374-1233
Kerri J Chapman Physician Assistant Independent Observation Physicians Pllc 47601 Grand River Ave, Novi, MI 48374-1233
Ariel Dews Physician Assistant Independent Observation Physicians Pllc 47601 Grand River Ave, Novi, MI 48374-1233
Jasmeet K Easwar Anesthesiology Providence Park Anesthesia Associates, PC 47601 Grand River Ave, Novi, MI 48374-1233
Benjamin J Krater Emergency Medicine Independent Observation Physicians Pllc 47601 Grand River Ave, Novi, MI 48374-1233
Shahina Mohmedyunus Patel Internal Medicine Independent Hospitalist Physicians Pllc 47601 Grand River Ave, Novi, MI 48374-1233
Rose T Kuo Emergency Medicine Independent Observation Physicians Pllc 47601 Grand River Ave, Novi, MI 48374-1233
Jeffry D Belan Physician Assistant Independent Observation Physicians Pllc 47601 Grand River Ave, Novi, MI 48374-1233
Zuhair Aejaz Internal Medicine Reliance Hospitalists Pllc 47601 Grand River Ave, Novi, MI 48374-1233
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Jodi L Farley Family Medicine Primecare On Wixom Pllc 27250 Wixom Rd A, Novi, MI 48374-1116
Braswell Deen Family Medicine Ascension Providence Hospital 26750 Providence Pkwy, Novi, MI 48374-1211
Jeffrey J Kirouac Anesthesiology Michigan Pain Management Consultants-west, PC 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211
Ashwini Mahindrakar Physical Therapy Porretta Center for Orthopaedic Surgery PC 26750 Providence Pkwy, Suite 240, Novi, MI 48374-1211
Victoria N Dooley Family Medicine Ascension Medical Group Michigan 26750 Providence Pkwy, Novi, MI 48374-1211
Amy R Shepard Family Medicine Ascension Providence Hospital 26750 Providence Pkwy, Novi, MI 48374-1211
Diana A Haidar Family Medicine Ascension Medical Group Michigan 26750 Providence Pkwy, Novi, MI 48374-1211
Jeffrey J Kimpson Anesthesiology Michigan Pain Management Consultants-west, PC 26750 Providence Pkwy, Suite 120, Novi, MI 48374-1211
Lorenzo Ray M Lim Family Medicine Ascension Medical Group Michigan 26750 Providence Pkwy, Novi, MI 48374-1211
Terri Ann Kovacic Certified Registered Nurse Anesthetist (crna) Northstar Anesthesia of Michigan II PC 26750 Providence Pkwy, Suite 100, Novi, MI 48374-1211
Find all physicians in zip 48374

Competitor

Search similar physicians

City NOVI
Zip Code 48374
Specialty ANESTHESIOLOGY
City + Specialty NOVI + ANESTHESIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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