Moon Paik MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301033213 Issued in MI

Legal business name

MOON PAIK MD

Practice address

28111 Hoover Rd
Unit 7a
Warren, MI 48093-4153

Phone

(586) 573-0902

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By 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

Laura Neville

Title

Office Manager

Phone

(586) 226-3671

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Moon Ki Paik, MD

  • Obstetrics & Gynecology Physician
  • Warren, MI
  • NPI 1891802500
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1912255746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28111 HOOVER RD",
            "address_2": "UNIT 7A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934153",
            "telephone_number": "586-573-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28111 HOOVER RD",
            "address_2": "UNIT 7A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934153",
            "telephone_number": "586-573-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON PAIK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-226-3671"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301033213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4784698",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Montalto
• Ronilo C Montano, MD
• Nadine Marie Monteleone, PTA
• John Dominic Monterosso
• Montys Trannsportation, LLC
• India R Mooney, MA, LPC
• Mary Moore-Butler
• Dominique Eunice Moore, LLC
• Hope Dawn Moore, LLPC
• Katia Moore

• Obstetrics & Gynecology Physician in Warren, MI
• Providers in Warren, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.