Edward N Kim, MD | |
21230 Dequindre Rd, Warren, MI 48091-2279 | |
(586) 427-1000 | |
Not Available |
Full Name | Edward N Kim |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 21230 Dequindre Rd, Warren, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649208075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301049887 (Michigan) | Primary |
Entity Name | Surgical Centers Of Michigan Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1962463133 PECOS PAC ID: 1355393364 Enrollment ID: O20050218000062 |
Entity Name | Macomb Endoscopy Center Plc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1780923128 PECOS PAC ID: 1850536012 Enrollment ID: O20130319000064 |
Entity Name | Northstar Anesthesia Of Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070 |
Mailing Address | Practice Location Address |
---|---|
Edward N Kim, MD 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Edward N Kim, MD 21230 Dequindre Rd, Warren, MI 48091-2279 Ph: (586) 427-1000 |
Kathy Schlecht, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 28120 Dequindre Rd, Warren, MI 48092 Phone: 586-573-0709 | |
Samuel D Manalo, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Horacio G Lardo, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Charles F Mckolay, D.O. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Anesthesia Department, Warren, MI 48093 Phone: 586-573-5260 | |
Philip J Zink, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Dr. Kondraganti P Rao, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 28111 Hoover, Warren, MI 48093 Phone: 586-573-0589 Fax: 586-573-3861 | |
Mark A Kalt, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 |