S SAMUEL IM MD PC
NPI 1528390952
Specialist in Battle Creek, MI

Active since February 10, 2010
485 E COLUMBIA AVE, SUITE 11 A, BATTLE CREEK, MI 49014(269) 969-6211(269) 969-6049 Get Directions Write a Review

NPPES record last updated: February 10, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About S Samuel Im Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S SAMUEL IM MD PC (NPI 1528390952) is a healthcare organization registered as a specialist in Battle Creek, Michigan and active in the NPI registry since February 2010. The organization lists Sunggeun Samuel Im, Owner, as its authorized official.

NPPES Registry Identity

NPI1528390952
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameS SAMUEL IM MD PC
Location Address485 E COLUMBIA AVE, SUITE 11 ABattle Creek, MI 49014-5499
Mailing Address485 E Columbia Ave, Suite 11 ABattle Creek, MI 49014-5499 · (269) 969-6211 · Fax (269) 969-6049
Fax(269) 969-6049
Organization SubpartNo
Authorized OfficialSunggeun Samuel ImOwner · (269) 969-6211
Enumeration DateFebruary 10, 2010
NPI 1528390952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MI · 4301031469
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

485 E COLUMBIA AVE, Battle Creek, MI 49014

Other Identifiers 2

Medicare UPIN0130302MI
Medicaid1077038MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
485 E COLUMBIA AVE, SUITE 12
BATTLE CREEK, MI 49014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528390952, enumerated as an "organization" on February 10, 2010.

The provider is located at 485 E COLUMBIA AVE SUITE 11 A BATTLE CREEK, MI 49014 and the phone number is (269) 969-6211.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.