Kean T Oh, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

4301091262 Issued in MI

Practice address

860 East Front Street
Traverse City, MI 49686-2704

Phone

(231) 938-0710

Fax

(231) 938-0264

NPI assigned

Aug 12, 2005

Last updated

Jan 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)
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  NPD (past)
• Palmetto Retina Center LLC

  • Ophthalmology Physician
  • West Columbia, SC
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  NPD (past)
• Retina Consultants PC

  dba The Retina Eye Center

  • Ophthalmology Physician
  • Augusta, GA
  • NPI 1750445425
  NPD (past)
• Retinal Consultants of Arizona LTD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1700823051
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1780686485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755391",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 EAST FRONT STREET",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862704",
            "telephone_number": "231-938-0710",
            "fax_number": "231-938-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "KEAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301091262",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301091262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "koh@arcmi.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "860 East Front Street",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496862704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Brian Ochoa, MD
• Deborah Jo Ochs, M.D.
• Kristen Jo Ockert, M.S., P.T.
• Cynthia Oconnel
• Brendan Odonnel, LMSW
• Kevin James Ohara, LBSW
• Stephen Henry Oklat, PHYSICIAN ASSISTANT
• Old Mission Advanced Care, PLLC
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• Old Mission Peninsula Dentistry RC (Old Mission Dentistry)

• Retina Specialist (Ophthalmology) Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Retina Specialist (Ophthalmology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.