Sung Soo Kang MD SC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SUNG SOO KANG MD SC

Practice address

1634 Avenue of the Cities
Moline, IL 61265-4860

Phone

(309) 762-9711

Fax

(309) 762-9747

NPI assigned

Jan 12, 2006

Organization subpart

No

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

Authorized official

Name

Sung Soo Kang, MD

Title

President

Phone

(309) 762-9711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1376522748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654860",
            "telephone_number": "309-762-9711",
            "fax_number": "309-762-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654860",
            "telephone_number": "309-762-9711",
            "fax_number": "309-762-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG SOO KANG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-762-9711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Stubblefield, MA
• Chelsea Sullens, DPT
• Carla Ann Sullivan, D.C.
• Summit Healthcare Services LLC
• Sanjay Sundar, M.D.
• Surgical Specialty Associates, PLLC
• Anette Svendsberget, D.C.
• Carrie M Swanson, MPT
• Elizabeth A Swanson, PA-C
• John A. Swanson, M.D.

• Anesthesiology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.