Individual provider Active NPI

Soo Cho Battle, M.D.

  • Pediatrics Physician
  • Waco, TX
National Provider Identifier
1417281437
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L5987 Issued in TX
Practice address
120 Hillcrest Medical Blvd
Office Building 2, Suite 200
Waco, TX 76712-8948
Phone
(254) 297-0400
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L5987 TX Primary

Addresses

Primary practice location

120 Hillcrest Medical Blvd
Office Building 2, Suite 200
Waco, TX 76712-8948

Mailing address

120 Hillcrest Medical Blvd
Office Building 2, Suite 200
Waco, TX 76712-8948
Phone (254) 297-0400

Other names 1

  • Soo Chin Cho Former name

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

State licenses

LicenseStateTypeSpecialty
L5987TXMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1417281437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HILLCREST MEDICAL BLVD",
            "address_2": "OFFICE BUILDING 2, SUITE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128948",
            "telephone_number": "254-297-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HILLCREST MEDICAL BLVD",
            "address_2": "OFFICE BUILDING 2, SUITE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128948",
            "telephone_number": "254-297-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "SOO",
        "middle_name": "CHO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L5987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOO",
            "last_name": "CHO",
            "middle_name": "CHIN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.