CHI S Ko M D Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

35. 036198 Issued in OH

Legal business name

CHI S KO M D INC

Practice address

3132 Belmont Ave
Youngstown, OH 44505-1838

Phone

(330) 759-0644

Fax

(330) 759-1893

NPI assigned

Oct 24, 2010

Organization subpart

No

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

Authorized official

Name

CHI S Ko, M.D.

Title

President

Phone

(330) 759-0644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1154621258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051838",
            "telephone_number": "330-759-0644",
            "fax_number": "330-759-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051838",
            "telephone_number": "330-759-0644",
            "fax_number": "330-759-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI S KO M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-24",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-759-0644",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "35. 036198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiewei Cheng, MD
• Jessica Cherol, RN
• Ashley Marie Cheung, CNP
• Eric Mark Chevlen, M.D.
• V Krishnarao Chevuru, MD
• David L Chiarella, PH.D.
• Louis Michael Chiaro, DPM
• Amy Chichak, LPC
• Cheyenne Amanda Childers
• Children'S Care Center for Blood & Cancer

• Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.