Individual provider Active NPI

Heesuck Michael Noh, M.D.

  • Diagnostic Radiology Physician
  • Reno, NV
National Provider Identifier
1346331196
Registry record updated Feb 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9528 Issued in NV
Practice address
645 N Arlington Ave
Suite 250a
Reno, NV 89503-4505
Phone
(775) 329-7707
Fax
(775) 329-7767
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9528 NV Primary

Addresses

Primary practice location

645 N Arlington Ave
Suite 250a
Reno, NV 89503-4505

Mailing address

PO Box 21568
Dept 284
Tulsa, OK 74121-1568
Phone (800) 915-3089

Other identifiers 1

IdentifierTypeStateIssuer
2016588MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: heesuck.noh.p1@direct.smmg.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391299200000",
    "number": "1346331196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21568",
            "address_2": "DEPT 284",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211568",
            "telephone_number": "800-915-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "SUITE 250A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034505",
            "telephone_number": "775-329-7707",
            "fax_number": "775-329-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOH",
        "first_name": "HEESUCK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "9528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016588",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2014; 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.