Hyung T Kim, MD | |
655 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546-8622 | |
(616) 363-7690 | |
(616) 942-8917 |
Full Name | Hyung T Kim |
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Gender | Male |
Speciality | Internal Medicine |
Location | 655 Kenmoor Ave Se Ste 200, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417382821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 2007001489 (Missouri) | Secondary |
207R00000X | Internal Medicine | 4301059422 (Michigan) | Primary |
Entity Name | Internal Medicine And Pediatrics Of West Michigan Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104170661 PECOS PAC ID: 6305090507 Enrollment ID: O20130215000130 |
Mailing Address | Practice Location Address |
---|---|
Hyung T Kim, MD 801 Plymouth Ave Se, Grand Rapids, MI 49506-6555 Ph: (314) 255-9255 | Hyung T Kim, MD 655 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546-8622 Ph: (616) 363-7690 |
Maureen Tan Pedres, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
Jeffery Allen Woo, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071 | |
Robert W Selfe, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Dr. Erin Megan Pettijohn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600 | |
Dr. Andrew Leo Sochacki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800 | |
Aline De Quadros Teixeira, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Stephanie F Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489 |