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

Q: What is S Samuel Im MD PC's NPI number?

The NPI number for S Samuel Im MD PC is 1528390952. It was assigned to this organization in the NPPES registry on February 10, 2010.

Q: What is S Samuel Im MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for S Samuel Im MD PC was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(269) 969-6211

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

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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 NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR SHARON M DICKERSON DDS PC

Dentist

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

Calhoun County (269) 962-5774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S Samuel Im MD PC's NPI number?

The NPI number for S Samuel Im MD PC is 1528390952. It was assigned to this organization in the NPPES registry on February 10, 2010.

Where is S Samuel Im MD PC located?

S Samuel Im MD PC is located at 485 E Columbia Ave Suite 11 A, Battle Creek, MI 49014. The listed phone number is (269) 969-6211.

What is S Samuel Im MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for S Samuel Im MD PC was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.