Kwang Joo, MD

Primary specialty

Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X

License

131744 Issued in NY

Practice address

2950 Elmwood Ave
Kenmore Mercy Hospital
Kenmore, NY 14217-1304

Phone

(716) 853-1616

Fax

(716) 829-2348

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• University Nuclear Medicine Inc

  • Specialist
  • Buffalo, NY
  • NPI 1558326959
  NPD
• Kenmore Nuclear Medicine PC

  • Nuclear Medicine Physician
  • Kenmore, NY
  • NPI 1902044142
  NPD (past)
• Sra Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1881920452
  NPD (past)
• Suny Buffalo

  • Special Hospital
  • Buffalo, NY
  • NPI 1801122072
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1427013341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "address_2": "BUFFALO GENERAL HOSPITAL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-853-1616",
            "fax_number": "716-829-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 ELMWOOD AVE",
            "address_2": "KENMORE MERCY HOSPITAL",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171304",
            "telephone_number": "716-853-1616",
            "fax_number": "716-829-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "KWANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NY",
            "license": "131744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00865210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Jobson
• Patrick Johel
• Raemell Cherrod Johnson, LMT
• Teresa Marie Johnson, LCSW
• Leta Ann Jones
• Katherine N Jordan, COTA
• Joseph V. Mure, MD, PLLC
• Catherine Joseph
• Ann K Jospitre-Summons
• Ashley Joya, PT,DPT

• Nuclear Medicine Physician in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Nuclear Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.