Organization Active NPI

Yoon J Cho DO LLC

  • Primary Care Clinic/Center
  • North Bethesda, MD
National Provider Identifier
1275630824
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
H0060318 Issued in MD
Legal business name
YOON J CHO DO LLC
Practice address
6161 Executive Blvd
North Bethesda, MD 20852
Phone
(301) 871-3400
Fax
(301) 871-3441
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Dr. Yoon J Cho, D.O.NPI 1811094469
Title
Physician
Phone
(301) 871-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X H0060318 MD Primary

Addresses

Primary practice location

6161 Executive Blvd
North Bethesda, MD 20852

Mailing address

6161 Executive Blvd
North Bethesda, MD 20852-3901
Phone (301) 871-3400

Other practice location 1

5576-B Norbeck Rd
Rockville, MD 20853-2441
Phone (301) 871-3400

Other names 1

  • Genesis Family Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070517000239 DC Part B Supplier - Clinic/Group Practice 2567569031 Receives reassigned benefits from 1 practitioner
Practice locations: North Bethesda, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D1068193Genesis Family Medical6161 Executive Blvd, Rockville, MD 20852Provider-performed microscopyMay 3, 2027

National Provider Directory

National Provider Directory

Locations

6161 Executive Blvd
Rockville, MD 20852
Phone (301) 770-4747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1275630824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 EXECUTIVE BLVD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523901",
            "telephone_number": "301-871-3400",
            "fax_number": "301-871-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 EXECUTIVE BLVD",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-871-3400",
            "fax_number": "301-871-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5576-B Norbeck Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208532441",
            "country_code": "US",
            "telephone_number": "301-871-3400",
            "fax_number": "301-871-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOON J CHO DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "YOON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-871-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "H0060318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.