Han Soo Bae PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301075954 Issued in MI

Legal business name

HAN SOO BAE PLLC

Practice address

2079 US Highway 23 S
Alpena, MI 49707-4524

Phone

(989) 354-2191

Fax

(989) 356-0784

NPI assigned

Jul 13, 2006

Last updated

Feb 25, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Han Bae, M.D.

Title

Otolarygnology

Phone

(989) 354-2191

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Han-Soo Bae, M.D.

  • Otolaryngology Physician
  • Monroe, MI
  • NPI 1316998792
  NPD (past)
• Galen Donald Ohmart, M.D.

  • Otolaryngology Physician
  • Alpena, MI
  • NPI 1134172091
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1164447975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074524",
            "telephone_number": "989-354-2191",
            "fax_number": "989-356-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 US HIGHWAY 23 S",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497074524",
            "telephone_number": "989-354-2191",
            "fax_number": "989-356-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN SOO BAE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "OTOLARYGNOLOGY",
        "authorized_official_telephone_number": "989-354-2191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301075954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5194963",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Gutzman
• Tina M Hahn, MD
• Sarah Hamilton
• Steven C Hammond, PA-C
• Kathryn Colleen Hampton, OTR
• Brian S Hanna, D.O.
• Eric James Hansen, FNP
• Leslie Ann Hanson, OTR/L
• Andreas Hantzis
• Harbor North Dental Associates

• Otolaryngology Physician in Alpena, MI
• Providers in Alpena, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.