Individual provider Active NPI

Un Sok Seo, M.D. UN

  • Emergency Medical Services (Emergency Medicine) Physician
  • Cottage Grove, OR
National Provider Identifier
1447280987
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD25947 Issued in OR
Practice address
1515 Village Dr
Cottage Grove, OR 97424-9700
Phone
(541) 942-0511
Fax
(541) 942-0353
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD25947 OR Primary

Addresses

Primary practice location

1515 Village Dr
Cottage Grove, OR 97424-9700

Mailing address

PO Box 569
Eugene, OR 97440-0569

Other identifiers 1

IdentifierTypeStateIssuer
213550MedicaidOR

Other names 1

  • Julie Sok Seo Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000003 OR Practitioner - Emergency Medicine 0244269439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene Emergency Physicians PCGroup PAC ID 2264330448, 33 clinicians

Practice addresses (Care Compare)

1255 Hilyard St
Eugene, OR 97401-3718
Phone (541) 686-7300

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Peacehealth Cottage Grove Community Medical Center Hospital, Cottage Grove, OR, CCN 381301

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.74
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Emergency Physicians PC CurrentSince Jan 2, 2019 Accepting new patients
Mary'S Peak Emergency Physicians Past Accepting new patients

Locations

1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

Interoperability endpoints

  • Direct secure messaging: jseo3039@direct.peacehealth.org

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1447280987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 569",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974400569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 VILLAGE DR",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249700",
            "telephone_number": "541-942-0511",
            "fax_number": "541-942-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "UN",
        "middle_name": "SOK",
        "credential": "M.D.  UN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OR",
            "license": "MD25947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213550",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SEO",
            "middle_name": "SOK",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cottage Grove, OR

Sources for this page

Verify at the official NPI Registry.