MOON KI PAIK MD NPI 1891802500

NPI Information

  • NPI: 1891802500
  • Provider Name: MOON KI PAIK, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 28111 HOOVER RD
    #7A
    WARREN, MI
    ZIP 48093
  • Phone: (586) 573-0900

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NPI Details

Moon Ki Paik, MD is an obstetrics gynecology in Warren, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Moon Ki Paik, MD NPI is 1891802500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

28111 HOOVER RD
#7A
WARREN, MI
ZIP 48093
Phone: (586) 573-0900
Fax: (586) 573-0902

The NPI 1891802500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 5/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology4301033213MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11605015361OTHERMICHIGANBCNETWK
20502477MEDICARE ID-TYPE UNSPECIFIED
313531OTHERCAPE
4105266OTHERGREAT LAKES
5B44304MEDICARE UPIN
64784698MEDICAIDMICHIGAN
71605015361OTHERMICHIGANBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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