Soomin Han, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

520 Cobb St
Cadillac, MI 49601-2588

Phone

(231) 775-6521

Fax

(231) 876-6519

NPI assigned

Jul 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Baldwin Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Baldwin, MI
  • NPI 1689783698
  Medicare reassignment
• Baldwin Family Health Care

  • Community/Retail Pharmacy
  • Big Rapids, MI
  • NPI 1497640213
  NPD
• Baldwin Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Kent City, MI
  • NPI 1962223453
  NPD

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1962818393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8295 W WHISPERING PINES CIR",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496518046",
            "telephone_number": "312-337-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-775-6521",
            "fax_number": "231-876-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "SOOMIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Hall, TLLP
• Jacquelyn Hall, ATC
• Diane Hamilton, CRNA
• Kiah Lynne Hammar
• Terri Hamp, PT
• Carol Lynn Hansen, LPC
• Theresa Szakacs Hansen, FNP
• Elizabeth Lynn Hanson, RD CDE
• Jessica Louise Hawkins, LMSW
• Sarah Elizabeth Hayes

• Physician Assistant in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.