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Dr. Michelle Jeena Im, DO

Family Medicine Physician in Shavertown, PA · enumerated 2017 · practices at Wilkes Barre Behavioral Hospital Company LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134640717

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Registry record

Entity type Individual (Type 1)
Name Dr. Michelle Jeena Im
Credential DO
Sex Female
Practice address 176 N Main St, Shavertown, PA, 18708
Phone (570) 675-0900
Enumeration date Jul 4, 2017
Last updated in NPPES Nov 15, 2021

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License OT018121 (PA) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Michelle Im practice?
The practice location on file with NPPES is in Shavertown, PA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Michelle Im?
The National Provider Identifier (NPI) for Michelle Im is 1134640717, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-15.