Michael Eun Suk Bang, MD
Individual provider Active NPI Hospitalist Physician · Marietta, OH
NPI 1245349463 · NPPES record last updated Jul 23, 2015
Key facts
- NPI
- 1245349463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 35081558 (OH)
- Practice address
- 401 Matthew St
Hospitalists
Marietta, OH 45750-1635 - Phone
- (740) 374-7700
- Fax
- (740) 374-7701
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Medical Group, LLC
Central Ohio Hospitalists, Inc
Practice addresses (Care Compare)
2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000
Hospital & facility affiliations
- Genesis Hospital
- Riverside Methodist Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040714000387 | OH | Practitioner - Internal Medicine | 7810976941 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35081558 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Group LLC | Current |
Accepting new patients | |
| Medone Pre-Admission Testing LLC | Current |
Accepting new patients | |
| Central Ohio Hospitalists, Inc | Current |
Accepting new patients | |
| Genesis Medical Group, LLC | Current |
Accepting new patients | |
| Mary Rutan Hospital | Past | Accepting new patients | |
| Genesis Healthcare System | Past | Accepting new patients |
Locations
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
3525 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
1087 Dennison Ave
Columbus, OH 43201
Phone (614) 458-9000
3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930
401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400
500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35081558 | OH | Yes |
Addresses
Primary practice location
401 Matthew St
Hospitalists
Marietta, OH 45750-1635
Mailing address
PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2367362 | Medicaid | OH | |
| P01464910 | Other | OH | MEDICARE RAILROAD |
Other providers in Marietta, OH
- Alayne C Baldinger
- Ravi Kumar Reddy Balireddy
- Larry Francis Ball
- Renea Lynne Ball
- William James Balshuweit
- Melissa Sue Barksdale
- Katrina R Barnes
- Megan Barnette
- Shayla Lanee Barnhouse
- Pamela S. Barron
All providers in Marietta, OH · Hospitalist Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.