Changhee Kim MD PHD PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301059643 Issued in MI

Legal business name

CHANGHEE KIM MD PHD PLC

Practice address

38815 Dequindre Rd
Suite 103
Troy, MI 48083-6810

Phone

(248) 740-7771

NPI assigned

Feb 7, 2008

Last updated

Feb 28, 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. Changhee Kim, M.D.NPI 1215918479

Title

Owner

Phone

(248) 740-7771

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Changhee Kim, MD

  • Family Medicine Physician
  • Troy, MI
  • NPI 1215918479
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1790963171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38815 DEQUINDRE RD",
            "address_2": "SUITE 103",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836810",
            "telephone_number": "248-740-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38815 DEQUINDRE RD",
            "address_2": "SUITE 103",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836810",
            "telephone_number": "248-740-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGHEE KIM MD PHD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHANGHEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-740-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301059643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4562401",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruchika Chandna
• Palanichamy Chandran, P.T
• Chanell Diane LLC
• Becky Chang, PHARM D
• Judy D Chang, D.D.S.
• Changing Rhythms (Amada Senior Care)
• Alexandria Chapie
• Susan Chaplin
• Amy Lynn Chapman, L.M.S.W.
• Emily Anne Chapman, OTR/L

• Family Medicine Physician in Troy, MI
• Providers in Troy, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.