Organization Active NPI

Jinwoo Yoo M.D.

  • Pediatric Adolescent Medicine Physician
  • Detroit, MI
National Provider Identifier
1245660141
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
JINWOO YOO M.D.
Practice address
12632 Dexter Ave
Detroit, MI 48238-3340
Phone
(313) 868-7700
Fax
(313) 868-0303
NPI assigned
Nov 14, 2013
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Dr. Jinwoo Yoo, M.D.
Title
Doctor
Phone
(313) 868-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

12632 Dexter Ave
Detroit, MI 48238-3340

Mailing address

12632 Dexter Ave
Detroit, MI 48238-3340
Phone (313) 868-7700

National Provider Directory

National Provider Directory

Locations

12632 Dexter Ave
Detroit, MI 48238
Phone (313) 868-7700

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1245660141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12632 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383340",
            "telephone_number": "313-868-7700",
            "fax_number": "313-868-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12632 DEXTER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383340",
            "telephone_number": "313-868-7700",
            "fax_number": "313-868-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINWOO YOO M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JINWOO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "313-868-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.