Organization Active NPI

KCBS Ventures, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Abilene, TX
National Provider Identifier
1316305501
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
KCBS VENTURES, LLC
Practice address
4438 S Clack St
Abilene, TX 79606-3634
Phone
(432) 695-6932
Fax
(432) 695-6934
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Mr. Kyungho Scott Choi, M.D., F.A.A.E.M.
Title
Owner/Medical Director
Phone
(432) 695-6932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

4438 S Clack St
Abilene, TX 79606-3634

Mailing address

PO Box 4143
Midland, TX 79704-4143
Phone (432) 695-6932

Other names 1

  • METRO ER SOUTH Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1316305501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4143",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797044143",
            "telephone_number": "432-695-6932",
            "fax_number": "432-695-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063634",
            "telephone_number": "432-695-6932",
            "fax_number": "432-695-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCBS VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "KYUNGHO",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "432-695-6932",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D., F.A.A.E.M."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METRO ER SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.