Organization Active NPI

Mien - Door Kioune, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1841488418
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0031865 Issued in MD
Legal business name
MIEN - DOOR KIOUNE, MD
Practice address
821 N Eutaw St
Suite 206
Baltimore, MD 21201-4648
Phone
(410) 669-1290
Fax
(410) 383-2228
NPI assigned
Oct 9, 2007
Last updated
Aug 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Mrs. Tsui-Mei Chang, M.S.
Title
Billing Staff/Office Manager
Phone
(410) 669-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0031865 MD Primary

Addresses

Primary practice location

821 N Eutaw St
Suite 206
Baltimore, MD 21201-4648

Mailing address

42 Springhill Farm CT
Cockeysville, MD 21030-1400
Phone (410) 669-1290

Other identifiers 1

IdentifierTypeStateIssuer
994650100MedicaidMD

National Provider Directory

National Provider Directory

Locations

416 E Joppa Rd
Towson, MD 21286
Phone (410) 823-0380

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1841488418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SPRINGHILL FARM CT",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301400",
            "telephone_number": "410-669-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST",
            "address_2": "SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014648",
            "telephone_number": "410-669-1290",
            "fax_number": "410-383-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIEN - DOOR KIOUNE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TSUI-MEI",
        "authorized_official_title_or_position": "BILLING STAFF/OFFICE MANAGER",
        "authorized_official_telephone_number": "410-669-1290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0031865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "994650100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

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