Individual provider Active NPI

Hu Sul Heo, L.AC, MSOM

  • Acupuncturist
  • Philadelphia, PA
National Provider Identifier
1083315329
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
OM000327 Issued in PA
Practice address
2308 Grays Ferry Ave
Philadelphia, PA 19146-1177
Phone
(215) 772-1040
NPI assigned
Mar 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X OM000327 PA Primary

Addresses

Primary practice location

2308 Grays Ferry Ave
Philadelphia, PA 19146-1177

Mailing address

97 Old Cedarbrook Rd
Wyncote, PA 19095-2045
Phone (267) 528-2166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OM000327PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Herrera Acupuncturist Past Accepting new patients
Six Fishes Acupuncture Acupuncturist PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1083315329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 OLD CEDARBROOK RD",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952045",
            "telephone_number": "267-528-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 GRAYS FERRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461177",
            "telephone_number": "215-772-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEO",
        "first_name": "HU SUL",
        "credential": "L.AC, MSOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.