Seung-Jun O, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

17305 Issued in SC

Practice address

2097 Henry Tecklenburg Dr
Suite 211 West
Charleston, SC 29414-5740

Phone

(843) 573-3456

Fax

(843) 573-3465

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1215042155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR",
            "address_2": "SUITE 211 WEST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145740",
            "telephone_number": "843-573-3456",
            "fax_number": "843-573-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR",
            "address_2": "SUITE 211 WEST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145740",
            "telephone_number": "843-573-3456",
            "fax_number": "843-573-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O",
        "first_name": "SEUNG-JUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "17305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173056",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Marie Nuzzo, OTR/L
• Ugochi Chidalu Nwamara, PHARMD
• Chiagozie Nwosu, MD
• Megan Margaret Nygaard
• Katherine Kennedy Proctor Nyland, PA
• Colleen Therese O'Brien, DNP
• Karen L. O'Brien, MSN, RN, ARNP-C
• Nikalina O'Brien, MD
• Paul Edward O'Brien, MD
• Terrence X O'Brien, MD, MS, FACC

• Plastic and Reconstructive Surgery Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Plastic and Reconstructive Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.