NPIMap

Individual provider Active NPI

Gene Chulyoung Yoo, DO

  • Sports Medicine (Family Medicine) Physician
  • Easton, PA
National Provider Identifier
1346864733
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS023644 Issued in PA
Practice address
3794 Hecktown Rd Ste 130
Easton, PA 18045-2355
Phone
(610) 402-8900
NPI assigned
Jun 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Family Medicine) Physician 207QS0010X OS023644 PA Primary

Addresses

Primary practice location

3794 Hecktown Rd Ste 130
Easton, PA 18045-2355

Mailing address

520 Hamilton St Apt 602
Allentown, PA 18101-1541
Phone (909) 358-0207

Other practice location 1

400 N 17th St Ste 300
Allentown, PA 18104-5052
Phone (610) 969-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916000337 PA Practitioner - Sports Medicine 2163963364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

101 W 7TH St
LVPG Expresscare Pennsburg
Pennsburg, PA 18073-1512
Phone (484) 763-5440

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Aug 5, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 5, 2024 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients

Locations

1250 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 435-1003

2100 Mack Blvd
Fl 4
Allentown, PA 18103

400 N 17th St
Ste 300
Allentown, PA 18104
Phone (610) 969-3100

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

101 W 7th St
Pennsburg, PA 18073
Phone (215) 679-3200

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Interoperability endpoints

  • Direct secure messaging: gyoo705585@direct2.lvhn.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1346864733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HAMILTON ST APT 602",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011541",
            "telephone_number": "909-358-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3794 HECKTOWN RD STE 130",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452355",
            "telephone_number": "610-402-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N 17th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181045052",
            "country_code": "US",
            "telephone_number": "610-969-3500",
            "fax_number": "610-969-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "GENE",
        "middle_name": "CHULYOUNG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS023644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.