Organization Active NPI

Dong Wha Ohm MD PC

  • Surgery of the Hand (Surgery) Physician
  • Flint, MI
National Provider Identifier
1730403403
Registry record updated Jun 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
4301034889 Issued in MI
Legal business name
DONG WHA OHM MD PC
Practice address
1085 S Linden Rd
Suite 100
Flint, MI 48532-3421
Phone
(810) 262-2008
Fax
(810) 230-3366
NPI assigned
Mar 24, 2010
Last updated
Jun 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2010

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

Authorized official

Name
Heather Williams
Title
Billing/Office Manager
Phone
(810) 875-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0105X 4301034889 MI Primary

Addresses

Primary practice location

1085 S Linden Rd
Suite 100
Flint, MI 48532-3421

Mailing address

PO Box 4040
Flint, MI 48504-0040
Phone (810) 875-9001

Other identifiers 1

IdentifierTypeStateIssuer
3207650MedicaidMI

National Provider Directory

National Provider Directory

Locations

1085 S Linden Rd
Ste 100
Flint, MI 48532
Phone (810) 262-2000

1121 Villa Linde Ct
Ste 39
Flint, MI 48532
Phone (810) 733-5050

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277596800000",
    "number": "1730403403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4040",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485040040",
            "telephone_number": "810-875-9001",
            "fax_number": "810-875-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 S LINDEN RD",
            "address_2": "SUITE 100",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323421",
            "telephone_number": "810-262-2008",
            "fax_number": "810-230-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG WHA OHM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-06-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "BILLING/OFFICE MANAGER",
        "authorized_official_telephone_number": "810-875-9001"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "4301034889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3207650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2010; 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.