Individual provider Active NPI

Anna Eunjoo Choe

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1003293879
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0085463 Issued in MD
Practice address
615 N Wolfe St RM Wb602
Baltimore, MD 21205
Phone
(410) 955-3362
Fax
(410) 614-1582
NPI assigned
Apr 30, 2015
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0085463 MD Primary

Addresses

Primary practice location

615 N Wolfe St RM Wb602
Baltimore, MD 21205

Mailing address

615 N Wolfe St RM Wb602
Baltimore, MD 21205-2103
Phone (410) 955-3362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826000415 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric MedicinePractitioner - Preventive Medicine 4082920798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1003293879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N WOLFE ST RM WB602",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052103",
            "telephone_number": "410-955-3362",
            "fax_number": "410-614-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N WOLFE ST RM WB602",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21205",
            "telephone_number": "410-955-3362",
            "fax_number": "410-614-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "ANNA",
        "middle_name": "EUNJOO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0085463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.